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

Why is the Medicaid comparison limited to South Carolina 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. South Carolina (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.

Kids First Dental, LLC (NPI 1750520623)

Field	Value
Entity Type	Organization
Organization	Kids First Dental, LLC
Address	655 Saint Andrews Rd Ste 8
City	Columbia
State	SC
ZIP	29210
Taxonomy	Dentist
NPI Enumerated	February 16, 2009

Payer Source	Total Paid
Medicaid	$20.6M
Medicare	$0

Key Findings

KIDS FIRST DENTAL, LLC reports no Medicare billing on file and $20.6M in lifetime Medicaid revenue, making its observable payer footprint effectively single-payer (Medicaid) in scale. The practice has an NPI enumerated 2009-02-16 (~17 years ago), indicating an established presence in Columbia, SC market.

Revenue is concentrated in a small set of Medicaid dentistry codes: the precomputed top 3 Medicaid codes account for 36.7% of this provider's total Medicaid revenue, driven by D1120 (15.1%), D2392 (11.4%), and D0120 (10.2%). This concentration shows a reliance on a mixture of preventive/recall visits and posterior composite restorations for a substantial share of Medicaid receipts.

The service mix points to a high-volume pediatric and restorative practice: D1120 (D1120 – Prophylaxis–child) appears with 87.5K claims and $3.1M revenue, D0120 (D0120 – Periodic oral evaluation - established patient) has 89.9K claims and $2.1M revenue, and D1206 (Topical Fluoride Treatment) has 104.7K claims and $1.7M revenue. Simultaneously, restorative codes such as D2392 (22.1K claims, $2.3M revenue) and D2391 (17.2K claims, $1.5M revenue) show large volumes of resin‑based composite work, indicating routine restorative procedures alongside preventive care.

On statewide competitive standing, the provider is a dominant volume player for several key codes: D1120 ranks #2 of 473 providers in-state (100th percentile; extreme outlier), D0120 ranks #2 of 606 providers in-state (100th percentile; extreme outlier), and D2392 ranks #3 of 347 providers in-state (99th percentile; extreme outlier). Multiple additional codes (D1110, D1206, D0272, D0150, D0274, D0330) are also listed at or near the 100th percentile, reinforcing a pattern of far-above-typical state volume across preventive and basic restorative services.

The practice’s portfolio includes higher-acuity procedures in Medicaid as well: D7140 (extraction) shows 7.3K claims and $707.9K revenue and ranks #11 of 291 providers in-state (97th percentile; notably above typical), while D7210 and D3330 are present at lower volumes but nontrivial revenue ($175.4K and $143.4K respectively). This mix indicates capability to deliver extractions and some endodontic or surgical services in addition to routine prevention and restorative care.

The provider’s statistical profile contains many extreme or notable outliers but also some routine-volume codes: several high-volume codes are explicitly labeled extreme outlier or notably above typical (e.g., D1120, D0120, D2392, D1110, D1206), while others such as D1351, D2930, and D7240 are described as typical or unremarkable by state ranking. That distribution suggests both exceptional scale for core pediatric/preventive services and more average participation in ancillary treatments.

High claim counts for preventive codes (104.7K claims for D1206, 89.9K for D0120, 87.5K for D1120) point to very high patient throughput and an operational model centered on frequent preventive encounters and routine restorative visits. For payers and network planners, this implies the provider operates multiple-chair capacity and scheduling throughput focused on high-volume pediatric and family dentistry.

Because the observable revenue is concentrated in Medicaid ($20.6M) with no Medicare billing on file, the practice’s financial performance is tightly linked to Medicaid utilization and reimbursement patterns. For contracting and risk-assessment purposes, this concentration makes the provider strategically important within the Medicaid network for pediatric preventive and restorative access, but also sensitive to any changes in Medicaid coverage or rates for high-volume codes.

Medicaid: Complete Services Breakdown

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

38 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1120	Prophylaxis–child	87,550	$40	$3.1M
D2392	Post 2 surface resin‑based composite	22,120	$100	$2.3M
D0120	Periodic oral evaluation - established patient	89,900	$20	$2.1M
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	34,240	$50	$1.7M
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	104,680	$20	$1.7M
D2391	Resin‑based composite – one surface, posterior	17,230	$90	$1.5M
D0272	N/A	57,510	$20	$1.1M
D0150	Comprehensive oral evaluation – new or established patient	25,510	$40	$1M
D0274	N/A	31,320	$30	$876.9K
D0330	N/A	16,730	$50	$786.4K

Showing 1–10 of 38

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. South Carolina Distribution

Kids First Dental, LLC — 19 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Carolina

Full comparison — all codes billed, vs. South Carolina median

38 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	45	130	1,060	$150	$371.1K
D7240	N/A	33	60	450	$260	$370K
D2940	N/A	5	10	100	$50	$339.8K
D2392	Post 2 surface resin‑based composite	3	350	520	$100	$175.3K
D1120	Prophylaxis–child	2	470	600	$30	$156.7K
D9248	N/A	31	50	920	$70	$126.1K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…	25	120	170	$130	$125.1K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	11	290	380	$90	$125K
D3330	N/A	4	20	30	$550	$117.9K
D9230	N/A	8	210	1,150	$30	$115.5K

Showing 1–10 of 38

Related Providers

Other providers that share a Tax Identification Number (TIN) with Kids First Dental, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
South Central Missouri Community Health Center	MO	Federally Qualified Health Center (FQHC)	$0	$5.3M
Robert Blair	HI	Oral and Maxillofacial Surgery (Dentist)	$0	$1.4M
Arthur Kalfus	HI	General Practice Dentistry	$0	$631.1K
Elaine Briggs	MO	Family Nurse Practitioner	$183.1K	$21.6K
Matthew Porter	MO	Family Medicine Physician	$320	$67.1K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
South Carolina Youth Advocate Program	SC	Community/Behavioral Health Agency	$0	$64M
Lifehme, Inc.	SC	Oxygen Equipment & Supplies (DME)	$0	$45.6M
Pal-med, LLC	SC	Durable Medical Equipment & Medical Supplies	$0	$26.2M
Bright Start, LLC	SC	Speech-Language Pathologist	$0	$20.8M
Hospice Care Of South Carolina, Lowcountry, LLC	SC	Community Based Hospice Care Agency	$0	$19.9M
Crescent Hospice, Inc.	SC	Community Based Hospice Care Agency	$0	$17.3M
Coram Healthcare/carolina Home Therapeutics	SC	Home Infusion Therapy Pharmacy	$0	$13.9M
Caring Healthcare, Inc.	SC	Nursing Care Agency	$0	$13.3M
Richland/lexington Disabilities And Special Needs Board	SC	Case Management Agency	$0	$11.3M
Compassionate Care Hospice Of South Carolina, LLC	SC	Community Based Hospice Care Agency	$0	$9.6M

Kids First Dental, LLC — Billing Profile & Reimbursement Data

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Kids First Dental, LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References