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.

Children's Dentistry Of Idaho, PLLC (NPI 1689942849)

Field	Value
Entity Type	Organization
Organization	Children's Dentistry Of Idaho, PLLC
Address	349 W Iowa Ave
City	Nampa
State	ID
ZIP	83686
Taxonomy	Pediatric Dentistry
NPI Enumerated	December 2, 2011

Payer Source	Total Paid
Medicaid	$3.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

26 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1120	Prophylaxis–child	29,810	$40	$1.2M
D0120	Periodic oral evaluation - established patient	25,470	$30	$789.5K
D2930	N/A	8,710	$50	$470.3K
D2392	Post 2 surface resin‑based composite	4,520	$60	$275.8K
D0150	Comprehensive oral evaluation – new or established patient	3,280	$80	$252.3K
D0140	Limited oral evaluation – problem focused	3,980	$40	$147.4K
D2934	N/A	460	$320	$145.4K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	4,090	$30	$135.1K
D9420	N/A	1,020	$120	$121.9K
D0330	N/A	1,260	$100	$120.9K

Showing 1–10 of 26

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

Children's Dentistry Of Idaho, PLLC — 8 of 23 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

26 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	4	50	750	$70	$171.2K
D1120	Prophylaxis–child	4	250	180	$60	$143K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	171	320	310	$80	$80.8K
D9420	N/A	9	40	180	$150	$80.8K
D2392	Post 2 surface resin‑based composite	12	190	280	$60	$72.9K
D2934	N/A	2	10	190	$280	$70.8K
D0210	Intraoral - complete series of radiographic images	25	120	140	$120	$66K
D0145	N/A	14	30	370	$50	$44K
D0330	N/A	26	170	170	$50	$35.6K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	6	110	300	$30	$32.4K

Showing 1–10 of 26

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
A&r Case Management	ID	Case Management Agency	$0	$18.1M
High Valley Developmental	ID	Developmentally Disabled Services Day Training Agency	$0	$15.5M
Nampa School District #131	ID	Local Education Agency (LEA)	$0	$15.2M
The Lilypad, LLC	ID	Developmentally Disabled Services Day Training Agency	$0	$8.3M
Witco, Inc.	ID	Developmentally Disabled Services Day Training Agency	$0	$8.3M
Allegiant Health LLC	ID	In Home Supportive Care Agency	$0	$6.9M
Vics Family Pharmacy Inc	ID	Pharmacy	$28.2K	$4.9M
Idaho Dental Aid PLLC	ID	Dentist	$0	$3.6M
All For One, LLC	ID	Case Management Agency	$0	$2.5M
Another Choice Virtual Charter School, Inc	ID	Local Education Agency (LEA)	$0	$2.3M

Children's Dentistry Of Idaho, PLLC — Billing Profile & Reimbursement Data

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Children's Dentistry Of Idaho, PLLC — Billing Profile & Reimbursement Data

Sign up for Children's Dentistry Of Idaho, PLLC — 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