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

Why is the Medicaid comparison limited to Indiana 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. Indiana (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 Specialists Of Indiana PC (NPI 1669582813)

Field	Value
Entity Type	Organization
Organization	Pediatric Dental Specialists Of Indiana PC
Address	2705 S Berkley
City	Kokomo
State	IN
ZIP	46902
Taxonomy	Pediatric Dentistry
NPI Enumerated	August 30, 2006

Payer Source	Total Paid
Medicaid	$3.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

25 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2930	N/A	4,810	$110	$533.9K
D1351	Sealant - per tooth	19,520	$20	$448.8K
D1120	Prophylaxis–child	14,290	$30	$400.1K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	18,980	$20	$341.6K
D0120	Periodic oral evaluation - established patient	16,680	$20	$316.8K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	4,390	$60	$267.5K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	5,120	$40	$199.5K
D2392	Post 2 surface resin‑based composite	2,310	$50	$119.9K
D0272	N/A	6,640	$20	$119.6K
D0210	Intraoral - complete series of radiographic images	2,530	$40	$98.7K

Showing 1–10 of 25

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Indiana Distribution

Pediatric Dental Specialists Of Indiana PC — 3 of 24 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Indiana

Full comparison — all codes billed, vs. Indiana median

25 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	35	170	1,180	$130	$370.2K
D1354	N/A	55	130	700	$70	$252.9K
D1351	Sealant - per tooth	28	450	780	$20	$118.4K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	51	540	460	$70	$106.9K
D3220	N/A	73	90	240	$90	$90K
D2392	Post 2 surface resin‑based composite	117	720	400	$60	$76.5K
D1120	Prophylaxis–child	39	970	450	$30	$69K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	85	1,230	660	$40	$67K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	26	750	530	$20	$56.9K
D0120	Periodic oral evaluation - established patient	41	1,360	800	$20	$53.2K

Showing 1–10 of 25

Nearby Providers

Other providers in the same ZIP code as Pediatric Dental Specialists Of Indiana PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hopebridge, LLC	IN	Child & Adolescent Psychiatry Physician	$0	$140.4M
Community Howard Regional Health, Inc	IN	General Acute Care Hospital	$0	$25.5M
Bona Vista Programs, Inc.	IN	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$17.5M
Community Howard Regional Health, Inc	IN	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$14.9M
Joint Heirs Pediatrics LLC	IN	Pediatrics Physician	$0	$12M
Community Howard Regional Health Inc	IN	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$8.7M
Indiana Health Centers, Inc.	IN	Federally Qualified Health Center (FQHC)	$0	$8.6M
Ladd Dental Group Inc	IN	General Practice Dentistry	$0	$6.1M
Kokomo Pediatric Dentistry, LLC	IN	Public Health Dentistry	$0	$5.5M
Autism Brain Alternatives, Inc	IN	Behavior Analyst	$0	$4.4M

Pediatric Dental Specialists Of Indiana PC — Billing Profile & Reimbursement Data

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Pediatric Dental Specialists Of Indiana PC — 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