Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Tennessee for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Tennessee only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Tennessee (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Foothills Pediatric Dentristry, P.C. (NPI 1629029657)

Field	Value
Entity Type	Organization
Organization	Foothills Pediatric Dentristry, P.C.
Address	121 Parliament Dr
City	Maryville
State	TN
ZIP	37804
Taxonomy	Pediatric Dentistry
NPI Enumerated	May 15, 2006

Payer Source	Total Paid
Medicaid	$2.2M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

24 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D8670	N/A	5,860	$90	$510K
D1120	Prophylaxis–child	13,060	$30	$404.8K
D0120	Periodic oral evaluation - established patient	13,580	$20	$312.3K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	15,180	$20	$303.5K
D2930	N/A	2,560	$100	$251.1K
D0272	N/A	6,720	$20	$114.2K
D0150	Comprehensive oral evaluation – new or established patient	2,040	$30	$57.1K
D9230	N/A	2,100	$30	$56.6K
D8080	N/A	80	$600	$45.8K
D2392	Post 2 surface resin‑based composite	600	$70	$40.1K

Showing 1–10 of 24

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Tennessee providers billing the same CPT/HCPCS codes.

Claims Volume vs. Tennessee Distribution

Foothills Pediatric Dentristry, P.C. — 1 of 20 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Tennessee

Full comparison — all codes billed, vs. Tennessee median

24 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	56	160	770	$110	$399.1K
D8670	N/A	20	90	2,120	$90	$358.9K
D8080	N/A	15	40	40	$1,120	$184.1K
D3220	N/A	75	110	610	$80	$167.4K
D1120	Prophylaxis–child	49	660	720	$30	$135.9K
D2392	Post 2 surface resin‑based composite	203	470	450	$70	$107K
D0120	Periodic oral evaluation - established patient	53	720	980	$20	$106.4K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	290	370	350	$60	$82.8K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	33	650	730	$20	$72.1K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	535	690	640	$40	$69.8K

Showing 1–10 of 24

Nearby Providers

Other providers in the same ZIP code as Foothills Pediatric Dentristry, P.C., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
App Of Tennessee Ed, PLLC	TN	Emergency Medicine Physician	$0	$30.3M
Prisma Health - Blount Memorial Hospital Inc.	TN	General Acute Care Hospital	$0	$14.8M
Speech Pathology Services Of East Tennessee LLC	TN	Rehabilitation Clinic/Center	$0	$9.3M
East Tennessee Oral & Maxillofacial Surgery, PC	TN	Oral and Maxillofacial Surgery (Dentist)	$0	$7.1M
East Tennessee Addiction Specialists	TN	Substance Use Disorder Rehabilitation Clinic/Center	$0	$6.5M
Open Hearts Open Arms	TN	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$4.8M
Maryville Asc	TN	Ambulatory Surgical Clinic/Center	$350.4K	$141.2K
Molecular Pathology Laboratory Network Inc	TN	Clinical Medical Laboratory	$369.4K	$60.8K
Donna Brantley	TN	Family Nurse Practitioner	$263.1K	$0
Robert Ivy	TN	Orthopaedic Hand Surgery Physician	$231.7K	$0

Foothills Pediatric Dentristry, P.C. — Billing Profile & Reimbursement Data

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Foothills Pediatric Dentristry, P.C. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References