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

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

Worthington Pediatric Dentists Inc. (NPI 1700930948)

Field	Value
Entity Type	Organization
Organization	Worthington Pediatric Dentists Inc.
Address	8121 N High St
City	Columbus
State	OH
ZIP	43235
Taxonomy	Dentist
NPI Enumerated	January 23, 2007

Payer Source	Total Paid
Medicaid	$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.

36 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2930	N/A	10,100	$100	$1M
D8670	N/A	3,400	$270	$903.9K
D1120	Prophylaxis–child	26,310	$20	$526.2K
D1208	Topical application of fluoride - excluding varnish	31,040	$20	$465.7K
D0120	Periodic oral evaluation - established patient	26,950	$20	$458.2K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	7,830	$60	$446.5K
D2392	Post 2 surface resin‑based composite	7,580	$50	$409.1K
D2391	Resin‑based composite – one surface, posterior	8,160	$50	$407.8K
D1351	Sealant - per tooth	14,790	$20	$310.5K
D0330	N/A	5,320	$40	$223.4K

Showing 1–10 of 36

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Ohio Distribution

Worthington Pediatric Dentists Inc. — 10 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Ohio

Full comparison — all codes billed, vs. Ohio median

36 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D8670	N/A	22	100	500	$290	$669K
D2930	N/A	16	190	700	$170	$480.4K
D8080	N/A	24	40	320	$740	$474K
D8030	N/A	25	60	1,180	$70	$185.4K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	62	920	510	$70	$144K
D8680	N/A	20	50	260	$210	$143.1K
D3220	N/A	11	120	340	$130	$108.7K
D0340	N/A	27	90	310	$60	$98.5K
D2933	N/A	3	10	70	$160	$82.8K
D2392	Post 2 surface resin‑based composite	28	990	340	$60	$78.4K

Showing 1–10 of 36

Nearby Providers

Other providers in the same ZIP code as Worthington Pediatric Dentists Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pinnacle Treatment Centers Oh-i, LLC	OH	Substance Abuse Rehabilitation Facility	$0	$96.1M
Maxim Healthcare Services, Inc.	OH	Home Health Agency	$0	$36.6M
Phoenix Home Health Care Of Central Ohio LLC	OH	Home Health Agency	$0	$35.1M
Ohio Medical Transportation, Inc.	OH	Air Ambulance	$4.3M	$12.1M
Parveenco International LLC	OH	Community/Behavioral Health Agency	$0	$6.8M
Aaron Boster	OH	Neurology Physician	$968.7K	$0
Andrew Quillin	OH	Dermatology Physician	$224.7K	$0
Julia Cameron-morrison	OH	Diagnostic Radiology Physician	$174.1K	$0
Kyle Williamson	OH	Diagnostic Radiology Physician	$169.7K	$0
Sara Boyd Falvo	OH	Diagnostic Radiology Physician	$160.3K	$0

Worthington Pediatric Dentists Inc. — Billing Profile & Reimbursement Data

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Worthington Pediatric Dentists Inc. — 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