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

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

A Plus Pediatric Dentistry Of Atlanta (NPI 1710256706)

Field	Value
Entity Type	Organization
Organization	A Plus Pediatric Dentistry Of Atlanta
Address	4300 Paces Ferry Rd Se
City	Atlanta
State	GA
ZIP	30339
Taxonomy	Pediatric Dentistry
NPI Enumerated	December 20, 2011

Payer Source	Total Paid
Medicaid	$637.3K
Medicare	$0

Medicaid: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1120	Prophylaxis–child	6,360	$30	$158.9K
D0120	Periodic oral evaluation - established patient	6,160	$20	$111K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	7,010	$20	$105.2K
D0272	N/A	3,060	$20	$55.1K
D0230	Intraoral - periapical each additional radiographic image	4,580	$10	$50.3K
D0220	Intraoral - periapical first radiographic image	4,030	$10	$44.3K
D1354	N/A	910	$30	$28.2K
D1351	Sealant - per tooth	870	$30	$22.5K
D0274	N/A	510	$30	$14.2K
D0330	N/A	260	$50	$11.7K

Showing 1–10 of 15

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Georgia Distribution

A Plus Pediatric Dentistry Of Atlanta — 0 of 15 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Georgia

Full comparison — all codes billed, vs. Georgia median

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D1351	Sealant - per tooth	32	70	580	$30	$176.7K
D1120	Prophylaxis–child	17	140	620	$30	$173.7K
D0120	Periodic oral evaluation - established patient	16	150	640	$20	$117.8K
D0274	N/A	43	110	340	$30	$96.8K
D0272	N/A	16	110	410	$20	$83.8K
D0150	Comprehensive oral evaluation – new or established patient	56	130	210	$30	$75.4K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	49	120	190	$30	$71K
D0330	N/A	38	90	210	$40	$66.9K
D0230	Intraoral - periapical each additional radiographic image	10	90	610	$10	$60.8K
D0210	Intraoral - complete series of radiographic images	50	60	120	$40	$60.6K

Showing 1–10 of 15

Nearby Providers

Other providers in the same ZIP code as A Plus Pediatric Dentistry Of Atlanta, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ryan Whitted	GA	Ophthalmology Physician	$2.5M	$0
James Frank	GA	Retina Specialist (Ophthalmology) Physician	$2.4M	$0
Margaret Wong Gribble	GA	Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician	$2M	$0
K&s Clinical Diagnostics Consulting Services, LLC	GA	Clinical Medical Laboratory	$621.2K	$229.3K
Crestre Boddy	GA	Clinical Social Worker	$446.8K	$0
Charles Thompson	GA	Ophthalmology Physician	$405K	$23.8K
Christine Page	GA	Mental Health Counselor	$0	$424K
Nikhil Anand	GA	Ophthalmology Physician	$404.1K	$0
John Roach	GA	Ophthalmology Physician	$340.7K	$0
Elliot Levine	GA	Ophthalmology Physician	$336.3K	$0

A Plus Pediatric Dentistry Of Atlanta — Billing Profile & Reimbursement Data

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A Plus Pediatric Dentistry Of Atlanta — 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