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

Why is the Medicaid comparison limited to North 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. North 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.

Cooke And Mvula, PLLC (NPI 1760890495)

Field	Value
Entity Type	Organization
Organization	Cooke And Mvula, PLLC
Address	2700 Coltsgate Rd Ste 204
City	Charlotte
State	NC
ZIP	28211
Taxonomy	Pediatric Dentistry
NPI Enumerated	July 25, 2014

Payer Source	Total Paid
Medicaid	$18.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

33 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2930	N/A	21,570	$140	$2.9M
D2392	Post 2 surface resin‑based composite	20,960	$100	$2.1M
D1120	Prophylaxis–child	81,920	$30	$2M
D0120	Periodic oral evaluation - established patient	65,630	$20	$1.6M
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	81,320	$20	$1.2M
D9230	N/A	29,600	$40	$1.2M
D1351	Sealant - per tooth	45,420	$30	$1.2M
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	14,110	$70	$945.6K
D2391	Resin‑based composite – one surface, posterior	11,100	$70	$799.3K
D0272	N/A	34,010	$20	$578.1K

Showing 1–10 of 33

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. North Carolina Distribution

Cooke And Mvula, PLLC — 19 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

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

33 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	5	260	710	$140	$426.8K
D2392	Post 2 surface resin‑based composite	6	940	660	$100	$205.2K
D9230	N/A	4	460	800	$40	$127.7K
D0120	Periodic oral evaluation - established patient	12	1,440	1,210	$30	$116.6K
D1120	Prophylaxis–child	3	1,140	780	$30	$116.3K
D2391	Resin‑based composite – one surface, posterior	17	790	410	$80	$114.6K
D1351	Sealant - per tooth	8	540	980	$30	$114.4K
D2934	N/A	12	40	230	$160	$112.8K
D2393	Resin-based composite, three surfaces, posterior	221	530	200	$120	$91.8K
D3220	N/A	21	140	350	$70	$91.1K

Showing 1–10 of 33

Nearby Providers

Other providers in the same ZIP code as Cooke And Mvula, PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alexander Youth Network	NC	Community/Behavioral Health Agency	$0	$36.8M
David H. Moore, Dds,ms,pa	NC	Pediatric Dentistry	$0	$32M
Mid-atlantic Emergency Medical Associates, PLLC	NC	Emergency Medicine Physician	$0	$25.2M
Thompson Child And Family Focus	NC	Community/Behavioral Health Agency	$0	$24.1M
Mecklenburg County	NC	State or Local Public Health Clinic/Center	$0	$22.4M
Carolinas Medical Center	NC	Psychiatric Hospital Unit	$0	$20.6M
Novant Health Medical Group LLC	NC	Pediatrics Physician	$0	$20.4M
Carolinas Medical Center	NC	Child & Adolescent Psychiatry Physician	$0	$16.6M
Cotswold Family Medicine	NC	Family Medicine Physician	$0	$12.2M
Thompson Child And Family Focus	NC	Community/Behavioral Health Agency	$0	$10M

Cooke And Mvula, PLLC — Billing Profile & Reimbursement Data

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Cooke And Mvula, PLLC — 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