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 Connecticut for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Connecticut 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. Connecticut (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.

Pediatric Dental Associates Of Southbury LLC (NPI 1629225875)

Field	Value
Entity Type	Organization
Organization	Pediatric Dental Associates Of Southbury LLC
Address	1 Pomperaug Office Park
City	Southbury
State	CT
ZIP	06488
Taxonomy	Pediatric Dentistry
NPI Enumerated	August 19, 2008

Payer Source	Total Paid
Medicaid	$1.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1120	Prophylaxis–child	16,400	$40	$672.3K
D0120	Periodic oral evaluation - established patient	15,890	$30	$492.7K
D1208	Topical application of fluoride - excluding varnish	16,120	$30	$419.2K
D0272	N/A	4,150	$30	$120.4K
D2392	Post 2 surface resin‑based composite	750	$100	$73.6K
D2391	Resin‑based composite – one surface, posterior	770	$80	$63.7K
D9230	N/A	940	$50	$45.2K
D0150	Comprehensive oral evaluation – new or established patient	190	$60	$11K
D0330	N/A	160	$60	$9.3K
D1351	Sealant - per tooth	260	$40	$8.9K

Showing 1–10 of 14

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Connecticut Distribution

Pediatric Dental Associates Of Southbury LLC — 3 of 14 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Connecticut

Full comparison — all codes billed, vs. Connecticut median

14 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2392	Post 2 surface resin‑based composite	176	390	620	$80	$144.8K
D1120	Prophylaxis–child	29	660	570	$40	$120.7K
D2391	Resin‑based composite – one surface, posterior	126	330	430	$60	$89.4K
D9230	N/A	44	110	550	$50	$88.3K
D0120	Periodic oral evaluation - established patient	29	730	700	$30	$80.6K
D1351	Sealant - per tooth	125	190	580	$30	$70K
D1208	Topical application of fluoride - excluding varnish	14	560	740	$20	$66.4K
D0330	N/A	195	330	250	$50	$53.6K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	309	470	730	$30	$51.5K
D0150	Comprehensive oral evaluation – new or established patient	288	480	380	$40	$51.4K

Showing 1–10 of 14

Nearby Providers

Other providers in the same ZIP code as Pediatric Dental Associates Of Southbury LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Family Strong Ct	CT	Behavior Analyst	$0	$4.5M
Wexford Behavioral Health Inc	CT	Clinical Social Worker	$0	$1.2M
Smile Spot LLC	CT	Dental Clinic/Center	$0	$1.2M
Southbury Ambulance Association Inc	CT	Land Ambulance	$483.3K	$440.5K
Connecticut Cvs Pharmacy, L.L.C.	CT	Pharmacy	$249.4K	$0
Walgreen Co	CT	Pharmacy	$226.8K	$6K
Chin Cheng Tai	CT	Primary Care Nurse Practitioner	$220.2K	$0
Heritage Village Ambulance Association Inc	CT	Land Ambulance	$163.7K	$50.6K
Carolyn Ajemian	CT	Diagnostic Radiology Physician	$203.7K	$0
Paolo Olcese	CT	Diagnostic Radiology Physician	$163.4K	$0

Pediatric Dental Associates Of Southbury LLC — Billing Profile & Reimbursement Data

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Pediatric Dental Associates Of Southbury LLC — 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