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

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

Children's Dentistry LLC (NPI 1649488743)

Field	Value
Entity Type	Organization
Organization	Children's Dentistry LLC
Address	6900 Yellowtail Rd Ste 100
City	Cheyenne
State	WY
ZIP	82009
Taxonomy	Pediatric Dentistry
NPI Enumerated	May 21, 2007

Payer Source	Total Paid
Medicaid	$8M
Medicare	$0

Key Findings

CHILDREN'S DENTISTRY LLC is effectively a Medicaid-focused practice: it reports no Medicare billing on file and $8M in lifetime Medicaid revenue, indicating a single-payer concentration in public pediatric dental care rather than a split payer mix. This profile aligns with its Pediatric Dentistry taxonomy and the code mix seen in Medicaid claims.

Revenue concentration is high: the top 3 Medicaid codes by revenue account for 37.1% of the provider's total Medicaid revenue. Those three codes are D1206 ($1.2M, 15.4%), D0120 ($945.5K, 11.9%), and D1120 ($780K, 9.8%), showing substantial dependence on a small set of preventive and evaluation services.

The code mix points to a practice structure centered on preventive pediatric dentistry and routine restorative work. Large volumes in D1206 (39.5K claims, topical fluoride), D1120 (22.9K claims, prophylaxis–child), and D1351 (18.4K claims, sealant - per tooth) alongside high-revenue restorative codes such as D2392 ($635.8K) and D2930 ($598.5K) indicate combined high-throughput preventive visits plus operative treatments.

Competitive standing in-state is dominant for many codes: the provider ranks #1 in-state for a long list of high-volume codes (for example D1206 is #1 of 103 providers, D0120 is #1 of 133, D1120 is #1 of 95), and many of those ranks are labeled 100th percentile and described as extreme outlier or notably above typical state volume. This pattern positions the practice as a major statewide provider for pediatric dental services, often far above typical peers for the same codes.

Several codes indicate very high operational throughput: for example D1206 has 39.5K claims and D0120 has 29.5K claims, while diagnostic and imaging activity shows up in codes like D0272 (14.2K claims, $311.4K revenue). These claim counts, paired with the rank outlier designations, suggest high patient volume and high day-to-day appointment flow relative to other in-state pediatric dental providers.

There is notable breadth across preventive, diagnostic, and restorative categories rather than a narrow specialty focus. Alongside preventive codes (D1206, D1120, D1351) and evaluations (D0120, D0150), the practice reports substantial restorative and surgical activity—D2392 ($635.8K), D2930 ($598.5K), and D7140 ($278.2K)—indicating it handles both routine preventive care and higher-acuity restorative or extraction procedures.

Some Medicaid billings are atypical for a strict pediatric-only panel: D1110 (adult prophylaxis) appears with $489.1K in revenue and ranks #1 of 89 providers in-state, suggesting either mixed-age care under the same NPI or billing for services that cross traditional pediatric/adolescent boundaries. The data does not indicate ownership or contractual arrangements, only that adult-focused codes contribute materially to reported Medicaid revenue.

Provider tenure is long-standing: the NPI was enumerated on 2007-05-21 (~19 years ago), providing nearly two decades of enrollment during which this high-volume Medicaid billing profile has been established. That longevity combined with repeated #1 state rankings across many codes suggests sustained market presence rather than a short-term billing spike.

Medicaid: Complete Services Breakdown

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

34 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	39,470	$30	$1.2M
D0120	Periodic oral evaluation - established patient	29,550	$30	$945.5K
D1120	Prophylaxis–child	22,940	$30	$780K
D2392	Post 2 surface resin‑based composite	6,760	$90	$635.8K
D2930	N/A	4,310	$140	$598.5K
D1351	Sealant - per tooth	18,400	$30	$496.8K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	9,780	$50	$489.1K
D8670	N/A	2,410	$150	$359.5K
D2391	Resin‑based composite – one surface, posterior	4,380	$80	$328.4K
D0272	N/A	14,150	$20	$311.4K

Showing 1–10 of 34

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Wyoming Distribution

Children's Dentistry LLC — 21 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wyoming

Full comparison — all codes billed, vs. Wyoming median

34 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	1	10	810	$130	$141.9K
D8670	N/A	1	10	370	$130	$90.6K
D2392	Post 2 surface resin‑based composite	1	30	230	$90	$87.4K
D1351	Sealant - per tooth	1	30	200	$30	$64.6K
D2391	Resin‑based composite – one surface, posterior	1	20	140	$70	$56.9K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	1	100	130	$30	$46.4K
D3120	N/A	1	10	1,810	$30	$46K
D9248	N/A	1	10	270	$100	$40.8K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	1	20	300	$70	$40.1K
D1120	Prophylaxis–child	1	100	110	$30	$39.8K

Showing 1–10 of 34

Related Providers

Other providers that share a Tax Identification Number (TIN) with Children's Dentistry LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Patricia Genho	WY	Dentist	$0	$40.9K
Erin Asay	WY	Dentist	$0	$35.2K

Nearby Providers

Other providers in the same ZIP code as Children's Dentistry LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Emg Cheyenne Sh LLC	WY	Assisted Living Facility	$0	$5.8M
Liv In-home Counseling & Care Management, LLC	WY	Primary Care Clinic/Center	$0	$5.7M
Lucy Russell	WY	Developmentally Disabled Services Day Training Agency	$0	$5.4M
Pediatric Dentistry LLC	WY	Pediatric Dentistry	$0	$4.1M
Bridges Of Wyoming, Inc	WY	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$2.2M
Renee Dreher	WY	Clinical Social Worker	$0	$817.9K
Breanna Barnes	WY	Pediatric Dentistry	$0	$794.4K
College Drive Urgent Care LLC	WY	Urgent Care Clinic/Center	$0	$770.4K
Sandra Surbrugg	WY	Dermatology Physician	$664.9K	$0
Center For Dermatologic Surgery	WY	Ambulatory Surgical Clinic/Center	$656.4K	$0

Children's Dentistry LLC — Billing Profile & Reimbursement Data

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Children's Dentistry LLC — 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