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

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

General Dentistry 4 Kids-valencia PLLC (NPI 1699986356)

Field	Value
Entity Type	Organization
Organization	General Dentistry 4 Kids-valencia PLLC
Address	295 W Valencia Rd
City	Tucson
State	AZ
ZIP	85706
Taxonomy	General Practice Dentistry
NPI Enumerated	May 24, 2007

Payer Source	Total Paid
Medicaid	$7.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

29 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1120	Prophylaxis–child	54,220	$30	$1.5M
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	69,260	$10	$900.4K
D0120	Periodic oral evaluation - established patient	48,840	$20	$879.1K
D2392	Post 2 surface resin‑based composite	13,670	$60	$806.7K
D0272	N/A	32,590	$10	$456.2K
D0274	N/A	22,610	$20	$429.5K
D2930	N/A	5,110	$80	$408.8K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	12,680	$30	$405.6K
D1351	Sealant - per tooth	22,130	$20	$331.9K
D2391	Resin‑based composite – one surface, posterior	6,420	$50	$327.3K

Showing 1–10 of 29

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Arizona Distribution

General Dentistry 4 Kids-valencia PLLC — 18 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Arizona

Full comparison — all codes billed, vs. Arizona median

29 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	11	250	330	$50	$65.2K
D2392	Post 2 surface resin‑based composite	8	600	460	$30	$53.2K
D1120	Prophylaxis–child	4	940	810	$10	$41.5K
D3220	N/A	56	140	220	$40	$31.3K
D0120	Periodic oral evaluation - established patient	5	1,080	650	$10	$25.1K
D2391	Resin‑based composite – one surface, posterior	10	470	240	$30	$25.1K
D2393	Resin-based composite, three surfaces, posterior	58	210	100	$50	$24.3K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	85	330	180	$30	$19.8K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	2	820	630	$10	$18.5K
D1351	Sealant - per tooth	3	460	510	$10	$17.1K

Showing 1–10 of 29

Nearby Providers

Other providers in the same ZIP code as General Dentistry 4 Kids-valencia PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kevin Collins	AZ	Occupational Therapist	$24K	$0

General Dentistry 4 Kids-valencia PLLC — Billing Profile & Reimbursement Data

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General Dentistry 4 Kids-valencia 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