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

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

Dentistry For Children (NPI 1679665822)

Field	Value
Entity Type	Organization
Organization	Dentistry For Children
Address	305 E Jefferson
City	Boise
State	ID
ZIP	83712
Taxonomy	Pediatric Dentistry
NPI Enumerated	September 28, 2006

Payer Source	Total Paid
Medicaid	$343.1K
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	4,170	$60	$250K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	810	$90	$69.1K
D0120	Periodic oral evaluation - established patient	5,810	$1	$11.6K
D2392	Post 2 surface resin‑based composite	180	$50	$9.2K
D0150	Comprehensive oral evaluation – new or established patient	50	$40	$2K
D1351	Sealant - per tooth	320	$1	$950
D0240	N/A	30	$20	$380
D0220	Intraoral - periapical first radiographic image	540	$0	$0
D0230	Intraoral - periapical each additional radiographic image	70	$0	$0
D0272	N/A	1,510	$0	$0

Showing 1–10 of 14

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Idaho Distribution

Dentistry For Children — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Idaho

Full comparison — all codes billed, vs. Idaho median

14 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D1120	Prophylaxis–child	30	250	180	$60	$143K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	97	320	310	$80	$80.8K
D2392	Post 2 surface resin‑based composite	119	190	280	$60	$72.9K
D0150	Comprehensive oral evaluation – new or established patient	171	220	220	$30	$21.2K
D1351	Sealant - per tooth	81	120	640	$1	$10.3K
D0274	N/A	219	260	240	$10	$7.3K
D0120	Periodic oral evaluation - established patient	28	350	400	$1	$5.7K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	37	210	320	$1	$1.6K
D9230	N/A	61	100	420	$1	$1.4K
D0272	N/A	42	180	240	$1	$950

Showing 1–10 of 14

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St Lukes Clinic-treasure Valley LLC	ID	Family Medicine Physician	$0	$59.2M
St Lukes Regional Medical Center	ID	General Acute Care Hospital	$0	$25.1M
Children's Home Society Of Idaho	ID	Mental Health Counselor	$0	$2.1M
Boise Pathology Group P.A.	ID	Dermatopathology (Pathology) Physician	$0	$1.1M
Casey Mcroy	ID	Diagnostic Radiology Physician	$648.3K	$0
Frederick Emge	ID	Pediatric Cardiology Physician	$0	$422.8K
Sarah Bolender	ID	Radiation Oncology Physician	$245.1K	$0
Marcos Daccarett	ID	Clinical Cardiac Electrophysiology Physician	$202.3K	$0
Tonya Kuhn	ID	Radiation Oncology Physician	$187.9K	$0
Kenneth Little	ID	Neurological Surgery Physician	$179.9K	$0

Dentistry For Children — Billing Profile & Reimbursement Data

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Dentistry For Children — Billing Profile & Reimbursement Data

Sign up for Dentistry For Children — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References