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

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

Koala Dental Care, LLC (NPI 1730360355)

Field	Value
Entity Type	Organization
Organization	Koala Dental Care, LLC
Address	3950 Veterans Drive
City	Saint Cloud
State	MN
ZIP	56303
Taxonomy	Pediatric Dentistry
NPI Enumerated	November 26, 2007

Payer Source	Total Paid
Medicaid	$11.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

39 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2930	N/A	17,460	$170	$2.9M
D1120	Prophylaxis–child	33,220	$40	$1.4M
D0120	Periodic oral evaluation - established patient	33,920	$40	$1.3M
D2392	Post 2 surface resin‑based composite	11,720	$90	$1M
D1208	Topical application of fluoride - excluding varnish	29,220	$30	$847.4K
D0272	N/A	19,470	$30	$661.8K
D2391	Resin‑based composite – one surface, posterior	5,930	$70	$426.6K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	2,930	$90	$263.4K
D9230	N/A	11,040	$20	$253.8K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	3,910	$60	$246.6K

Showing 1–10 of 39

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Minnesota Distribution

Koala Dental Care, LLC — 8 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Minnesota

Full comparison — all codes billed, vs. Minnesota median

39 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	3	70	610	$170	$518.6K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	51	240	730	$100	$243.2K
D2392	Post 2 surface resin‑based composite	6	270	540	$90	$161.5K
D0140	Limited oral evaluation – problem focused	158	390	730	$60	$153.3K
D0120	Periodic oral evaluation - established patient	7	740	430	$50	$120.3K
D2391	Resin‑based composite – one surface, posterior	20	250	420	$70	$116.6K
D0330	N/A	123	370	590	$60	$109K
D0240	N/A	6	50	510	$30	$95.5K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	92	640	380	$50	$93.7K
D0150	Comprehensive oral evaluation – new or established patient	38	370	530	$60	$91.1K

Showing 1–10 of 39

Nearby Providers

Other providers in the same ZIP code as Koala Dental Care, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St. Cloud Hospital	MN	General Acute Care Hospital	$0	$53.4M
Central Minnesota Mental Health Center	MN	Mental Health Counselor	$0	$36.2M
Centracare Clinic	MN	Multi-Specialty Clinic/Center	$0	$20.8M
Centracare Clinic	MN	Multi-Specialty Clinic/Center	$0	$19.3M
Eye Kraft Optical, Inc	MN	Eyewear Supplier	$0	$17.7M
Northway Academy, Inc.	MN	Developmental Disabilities Clinic/Center	$0	$14.4M
Centracare Health Systems	MN	Clinical Medical Laboratory	$1.2M	$9.4M
Centracare Health System	MN	Clinical Medical Laboratory	$345.1K	$9.1M
St. Cloud Area School District 742	MN	Local Education Agency (LEA)	$0	$9.3M
Centracare Clinic	MN	Multi-Specialty Clinic/Center	$0	$6.9M

Koala Dental Care, LLC — Billing Profile & Reimbursement Data

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Koala Dental Care, LLC — 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