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

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

Pedersen Dental (NPI 1750456950)

Field	Value
Entity Type	Organization
Organization	Pedersen Dental
Address	1005 A St
City	Schuyler
State	NE
ZIP	68661
Taxonomy	General Practice Dentistry
NPI Enumerated	November 22, 2006

Payer Source	Total Paid
Medicaid	$277.2K
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
D0120	Periodic oral evaluation - established patient	2,430	$20	$55.9K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	2,150	$20	$51.7K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	1,410	$40	$49.2K
D1120	Prophylaxis–child	1,450	$30	$39.2K
D2150	Amalgam - two surfaces, primary or permanent	280	$60	$16.9K
D1999	N/A	1,650	$10	$14.8K
D0210	Intraoral - complete series of radiographic images	200	$50	$10.3K
D0150	Comprehensive oral evaluation – new or established patient	410	$20	$9.9K
D2140	Amalgam - one surface, primary or permanent	190	$50	$9.7K
D0274	N/A	400	$20	$8.4K

Showing 1–10 of 15

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Nebraska Distribution

Pedersen Dental — 0 of 15 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Nebraska

Full comparison — all codes billed, vs. Nebraska median

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D1351	Sealant - per tooth	114	130	460	$30	$84.7K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	69	320	460	$20	$62.2K
D1120	Prophylaxis–child	68	290	320	$30	$61K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	83	100	180	$60	$58.2K
D0120	Periodic oral evaluation - established patient	67	400	430	$20	$44.3K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	54	310	220	$40	$28.1K
D0210	Intraoral - complete series of radiographic images	58	130	160	$50	$26.8K
D1999	N/A	70	270	450	$10	$17.9K
D0272	N/A	89	210	210	$10	$17.7K
D0150	Comprehensive oral evaluation – new or established patient	84	240	190	$20	$16.3K

Showing 1–10 of 15

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alegent Health Memorial Hospital, Schuyler	NE	Rural Health Clinic/Center	$0	$2.1M
Alegent Health Memorial Hospital, Schuyler	NE	Critical Access Hospital	$0	$825.3K
Camp Smile Nebraska LLC	NE	Pediatric Dentistry	$0	$294.5K
James Collins	NE	Chiropractor	$98.4K	$44.2K

Pedersen Dental — Billing Profile & Reimbursement Data

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Pedersen Dental — 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