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

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

Katahdin Pediatric's PA (NPI 1679038137)

Field	Value
Entity Type	Organization
Organization	Katahdin Pediatric's PA
Address	24 Penn Plz
City	Bangor
State	ME
ZIP	04401
Taxonomy	Pediatric Dentistry
NPI Enumerated	February 8, 2019

Payer Source	Total Paid
Medicaid	$747.9K
Medicare	$0

Medicaid: Complete Services Breakdown

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

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1120	Prophylaxis–child	3,300	$30	$102.2K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	1,120	$90	$97.1K
D0120	Periodic oral evaluation - established patient	3,640	$30	$94.7K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	4,430	$20	$70.9K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	1,280	$50	$61.3K
D9230	N/A	2,200	$30	$59.3K
D1351	Sealant - per tooth	1,880	$30	$48.8K
D2392	Post 2 surface resin‑based composite	390	$110	$41.8K
D0330	N/A	710	$60	$39.6K
D2930	N/A	230	$130	$28.9K

Showing 1–10 of 19

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Maine Distribution

Katahdin Pediatric's PA — 0 of 19 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maine

Full comparison — all codes billed, vs. Maine median

19 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	10	20	230	$140	$315.1K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	26	70	630	$100	$235.5K
D2392	Post 2 surface resin‑based composite	34	80	260	$80	$88.2K
D1351	Sealant - per tooth	36	80	1,040	$20	$87.6K
D1120	Prophylaxis–child	28	160	500	$30	$56.2K
D0120	Periodic oral evaluation - established patient	17	140	480	$20	$46.8K
D1354	N/A	32	50	620	$20	$43.9K
D2391	Resin‑based composite – one surface, posterior	36	70	230	$60	$43.2K
D0150	Comprehensive oral evaluation – new or established patient	42	100	310	$50	$39.3K
D0330	N/A	30	110	240	$40	$36.8K

Showing 1–10 of 19

Nearby Providers

Other providers in the same ZIP code as Katahdin Pediatric's PA, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Eastern Maine Medical Center	ME	General Acute Care Hospital	$0	$159.3M
Creative Options, LLC	ME	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$78.7M
Mas Medical Staffing Corporation	ME	Community/Behavioral Health Agency	$0	$62.5M
Ohi	ME	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$61.9M
Ohi	ME	Mental Illness Community Based Residential Treatment Facility	$0	$39.6M
St. Joseph Hospital	ME	General Acute Care Hospital	$0	$38.8M
Mert Enterprises, Inc.	ME	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$36.3M
Penobscot Community Health Center	ME	Federally Qualified Health Center (FQHC)	$0	$27.3M
Amicus	ME	Developmentally Disabled Services Day Training Agency	$0	$26.1M
Branches, LLC	ME	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$25.4M

Katahdin Pediatric's PA — Billing Profile & Reimbursement Data

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Katahdin Pediatric's PA — 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