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

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

Pspd - Monroe, PLLC (NPI 1679898902)

Field	Value
Entity Type	Organization
Organization	Pspd - Monroe, PLLC
Address	14090 Fryelands Blvd Se Ste 348
City	Monroe
State	WA
ZIP	98272
Taxonomy	Pediatric Dentistry
NPI Enumerated	March 30, 2010

Payer Source	Total Paid
Medicaid	$3.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

22 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D0120	Periodic oral evaluation - established patient	32,180	$30	$869K
D1120	Prophylaxis–child	29,360	$20	$704.7K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	32,480	$20	$617.1K
D9999	N/A	7,500	$30	$217.4K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	5,180	$40	$207.1K
D0220	Intraoral - periapical first radiographic image	18,050	$10	$144.4K
D0272	N/A	9,700	$10	$97K
D0330	N/A	2,400	$40	$95.8K
D1351	Sealant - per tooth	3,940	$20	$90.7K
D0150	Comprehensive oral evaluation – new or established patient	1,720	$40	$70.5K

Showing 1–10 of 22

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Washington Distribution

Pspd - Monroe, PLLC — 3 of 22 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. Washington median

22 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	132	160	1,710	$140	$531.8K
D2392	Post 2 surface resin‑based composite	366	540	990	$60	$188.6K
D0120	Periodic oral evaluation - established patient	41	920	690	$20	$131.3K
D2391	Resin‑based composite – one surface, posterior	375	480	670	$50	$119.5K
D1120	Prophylaxis–child	36	730	690	$20	$112.8K
D1351	Sealant - per tooth	118	400	1,120	$20	$103.9K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	223	390	640	$50	$98.8K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	35	730	730	$20	$98.5K
D9630	N/A	28	90	400	$40	$88.5K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	68	660	620	$30	$76.1K

Showing 1–10 of 22

Nearby Providers

Other providers in the same ZIP code as Pspd - Monroe, PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Public Hospital District 1 Of Snohomish County	WA	General Acute Care Hospital	$0	$11.2M
Sea Mar Community Health Centers	WA	Federally Qualified Health Center (FQHC)	$0	$5.2M
Sea Mar Community Health Centers	WA	Federally Qualified Health Center (FQHC)	$0	$3.2M
Providence Health & Services-washington	WA	Pediatrics Physician	$0	$3.2M
Providence Health & Services - Washington	WA	Family Medicine Physician	$0	$2.9M
Snohomish Regional Fire And Rescue	WA	Land Ambulance	$476.2K	$1.2M
Harpreet Kaur	WA	Occupational Therapist	$112.8K	$0
Kenneth Lin	WA	Orthopaedic Surgery Physician	$75.9K	$0
Lindsay Petty	WA	Family Nurse Practitioner	$56.9K	$0
Susanne Hopkins	WA	Obstetrics & Gynecology Physician	$2.9K	$0

Pspd - Monroe, PLLC — Billing Profile & Reimbursement Data

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Pspd - Monroe, PLLC — 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