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

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

Rimrock Pediatric Dentistry (NPI 1629324306)

Field	Value
Entity Type	Organization
Organization	Rimrock Pediatric Dentistry
Address	1601 Zimmerman Trail
City	Billings
State	MT
ZIP	59102
Taxonomy	Pediatric Dentistry
NPI Enumerated	July 31, 2012

Payer Source	Total Paid
Medicaid	$15.2M
Medicare	$0

Key Findings

RIMROCK PEDIATRIC DENTISTRY is effectively a single‑payer practice: it has no Medicare billing on file and reports $15.2M in lifetime Medicaid revenue, indicating Medicaid is the dominant payer driving this provider’s billed volume and revenue. The practice’s NPI was enumerated on 2012-07-31 (~14 years ago), which aligns with an established operating history focused on publicly funded pediatric dental care.

Revenue is highly concentrated in a small set of procedure codes: the precomputed top‑3 Medicaid codes account for 37.0% of total Medicaid revenue, driven by D2392 ($2.6M, 17.8%), D2930 ($1.6M, 10.8%), and D1120 ($1.2M, 8.3%). This concentration indicates a reliance on a few high‑volume restorative and preventive codes for a substantial share of the practice’s Medicaid receipts.

The code mix and volumes point to a high‑throughput pediatric dental operation: large counts for preventive codes such as D1120 (37.4K claims, $33 avg paid/claim, $1.2M revenue), D1206 (46.6K claims, $21 avg, $979.1K), and D1351 (18.9K claims, $26 avg, $492.1K) show heavy emphasis on child prophylaxis, topical fluoride, and sealants. Coupled with restorative codes like D2392 (20.6K claims, $2.6M revenue) and D2391 (8.1K claims, $574.2K revenue), the mix suggests routine preventive care is paired with frequent posterior composite restorations typical of pediatric dental clinics.

The provider is a dominant statewide performer on numerous Medicaid codes: D2392 ranks #1 of 131 providers in-state (100th percentile; extreme outlier) and several other codes—including D9248, D0272, D2391, D3220, and D9230—also rank at or near the top statewide (100th percentile; labeled extreme outlier). Multiple high‑percentile rankings (many at 99–100th) indicate RIMROCK is a major competitor in Montana for pediatric dental services rather than a modest participant.

Several specific codes evidence exceptional outlier status for volume or share: D2392 is an extreme outlier by revenue share, D1120 and D1206 are extreme outliers in claim counts and state percentiles, and D2930 and other restorative codes are notably above typical state volume. These plain‑English labels in the state rankings imply the practice’s activity for these codes is far above typical peer volume in Montana.

The practice also bills a substantial volume of procedural and surgical services alongside preventive care: D7140 (7.4K claims, $74 avg, $546.8K revenue) and D2929 (2.6K claims, $189 avg, $485.2K revenue) show frequent extractions and higher‑priced restorative procedures, indicating capacity for operative treatment and not solely preventive visits. This mix suggests the clinic manages both routine preventive care and a nontrivial load of operative interventions.

RIMROCK shows breadth across supportive diagnostic and evaluation codes as well: high counts for D0120 (39K claims, $24 avg, $934.8K revenue), D0272 (28.9K claims, $21 avg, $606.8K revenue), D0220 (10.6K claims, $16 avg, $170.2K revenue), and D0150 (3.2K claims, $34 avg, $110.4K revenue) indicate frequent periodic and radiographic services that accompany high patient throughput. These volumes reinforce a full‑service pediatric dental workflow for established and continuing patients.

Non‑dental public‑health service billing is also notable: D0603 shows 32.1K claims at $9 avg paid/claim for $288.5K revenue and ranks #2 of 46 providers in-state (98th percentile; extreme outlier). This suggests the practice billed Medicaid for high‑volume antigen testing in addition to its core pediatric dental services, reflecting operational diversification into public health testing during the reporting period.

Medicaid: Complete Services Breakdown

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

36 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2392	Post 2 surface resin‑based composite	20,580	$130	$2.6M
D2930	N/A	12,220	$130	$1.6M
D1120	Prophylaxis–child	37,370	$30	$1.2M
D9248	N/A	7,620	$140	$1.1M
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	46,620	$20	$979.1K
D0120	Periodic oral evaluation - established patient	38,950	$20	$934.8K
D0272	N/A	28,900	$20	$606.8K
D2391	Resin‑based composite – one surface, posterior	8,090	$70	$574.2K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	7,390	$70	$546.8K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	10,290	$50	$524.6K

Showing 1–10 of 36

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Montana Distribution

Rimrock Pediatric Dentistry — 18 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Montana

Full comparison — all codes billed, vs. Montana median

36 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	3	20	2,090	$120	$493.4K
D2392	Post 2 surface resin‑based composite	1	130	310	$120	$173.4K
D9248	N/A	1	20	530	$140	$150.4K
D2929	N/A	1	10	400	$190	$126.3K
D1310	N/A	4	50	520	$40	$119.6K
D1351	Sealant - per tooth	3	60	590	$30	$101.4K
D1120	Prophylaxis–child	3	180	200	$30	$88.4K
D9310	N/A	18	40	450	$50	$74.1K
D1330	N/A	4	60	340	$20	$65.6K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	2	80	290	$50	$59.8K

Showing 1–10 of 36

Related Providers

Other providers that share a Tax Identification Number (TIN) with Rimrock Pediatric Dentistry, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Trailhead Pediatric Dentistry	MT	Pediatric Dentistry	$0	$2.5M
Glasgow Pediatric Dentistry	MT	Pediatric Dentistry	$0	$373.1K

Nearby Providers

Other providers in the same ZIP code as Rimrock Pediatric Dentistry, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Youth Dynamics, Inc.	MT	Mental Illness Community Based Residential Treatment Facility	$0	$65.4M
New Day, Inc.	MT	Mental Illness Community Based Residential Treatment Facility	$0	$27.7M
Youth Dynamics, Inc.	MT	Professional Counselor	$0	$24.6M
Resource, Support, & Development, Inc.	MT	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$21.3M
Brittany Curl	MT	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$17.5M
Bridges Of Montana	MT	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$12.7M
The Childrens Clinic Of Billings, PC	MT	Pediatrics Physician	$0	$10.9M
Community Option Resource Enterprises, Inc.	MT	Developmentally Disabled Services Day Training Agency	$0	$9.8M
Ryan K. Larsen Dmd & Associates	MT	Dental Anesthesiology	$0	$8.3M
Brewer Dental Center PLLC	MT	General Practice Dentistry	$0	$8.3M

Rimrock Pediatric Dentistry — Billing Profile & Reimbursement Data

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Rimrock Pediatric Dentistry — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References