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.

Kearney Pediatric Dentistry, L.L.C. (NPI 1760910194)

Field	Value
Entity Type	Organization
Organization	Kearney Pediatric Dentistry, L.L.C.
Address	218 W 39th St
City	Kearney
State	NE
ZIP	68845
Taxonomy	Pediatric Dentistry
NPI Enumerated	May 30, 2017

Payer Source	Total Paid
Medicaid	$4.5M
Medicare	$0

Key Findings

KEARNEY PEDIATRIC DENTISTRY, L.L.C. reports $4.5M in lifetime Medicaid revenue and has no Medicare billing on file, making its commercial/payer mix effectively single‑payer Medicaid. The absence of any Medicare activity suggests operations and revenue are concentrated in pediatric Medicaid populations rather than dual Medicare/Medicaid service lines.

Revenue concentration is high: the top 3 Medicaid codes account for 58.6% of this provider’s total Medicaid revenue. Those top codes are D2930 (no description available): 8.7K claims, $128 avg paid/claim, $1.1M revenue (24.6%); D1120 (Prophylaxis–child): 26.9K claims, $29 avg paid/claim, $781.5K revenue (17.2%); and D1206 (Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients): 30.3K claims, $25 avg paid/claim, $758.3K revenue (16.7%).

The services mix is strongly pediatric‑preventive in orientation: very large volumes of D1120 (26.9K claims) and D1206 (30.3K claims), plus D1351 sealants (11.7K claims) and D0120 periodic evaluations (22K claims, $550.6K revenue), indicate routine prophylaxis, fluoride therapy, sealant placement, and periodic oral exams are the operational core. This pattern is consistent with a high‑throughput pediatric dentistry practice focused on preventive care and routine office-based restorative work.

Several codes show exceptional statewide standing, marking the clinic as a major provider for these pediatric services in Nebraska. D1120 and D1206 both rank #5 in-state (99th percentile; extreme outlier), and D0120 ranks #5 of 402 providers (99th percentile; extreme outlier), while D2930 ranks #5 of 48 providers (91th percentile; notably above typical state volume), indicating the provider is a top‑tier volume performer for routine pediatric dental care.

Beyond the top three, the provider maintains substantial ancillary volumes that broaden its pediatric service footprint: D1351 (11.7K claims, $315.9K revenue, 7.0% of Medicaid revenue; ranks #7 of 129, 95th percentile), D0145 (3.8K claims, $160.4K revenue; ranks #5 of 46, 91th percentile), and high radiographic claim counts such as D0240 (6.3K claims, $44K revenue; ranks #2 of 32, 97th percentile). These additional codes reinforce a full‑spectrum pediatric practice model that combines prevention, diagnostics, and procedure-based care.

Operational scale is evident from raw claim counts: multiple codes exceed tens of thousands of claims (D1206 30.3K, D1120 26.9K, D0120 22K), signaling large patient throughput and frequent repeat preventive visits. Coupled with the $4.5M Medicaid revenue and no Medicare activity, this suggests the practice’s volume and revenue generation are concentrated on Medicaid pediatric beneficiaries.

The provider’s financial profile shows concentration risk: with 58.6% of Medicaid revenue coming from three codes and the overall reliance on Medicaid ($4.5M) without Medicare diversification, changes in Medicaid coverage or reimbursement for D2930, D1120, or D1206 could meaningfully affect revenue. Monitoring payer policy changes for these specific codes is important for assessing revenue sustainability.

KEARNEY PEDIATRIC DENTISTRY has an established operational tenure: NPI enumerated on 2017-05-30 (~9 years ago). That multi‑year presence combined with top‑ranked code volumes suggests the practice has scaled its pediatric preventive services steadily since enumeration.

Medicaid: Complete Services Breakdown

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

23 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2930	N/A	8,740	$130	$1.1M
D1120	Prophylaxis–child	26,950	$30	$781.5K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	30,330	$30	$758.3K
D0120	Periodic oral evaluation - established patient	22,020	$30	$550.6K
D1351	Sealant - per tooth	11,700	$30	$315.9K
D0145	N/A	3,820	$40	$160.4K
D0272	N/A	10,520	$10	$147.3K
D1999	N/A	13,650	$10	$136.5K
D9230	N/A	2,210	$30	$68.6K
D9420	N/A	760	$90	$68K

Showing 1–10 of 23

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

Kearney Pediatric Dentistry, L.L.C. — 7 of 23 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

23 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	5	50	540	$120	$269K
D1351	Sealant - per tooth	7	130	460	$30	$84.7K
D2392	Post 2 surface resin‑based composite	73	140	270	$80	$66.8K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	5	320	460	$20	$62.2K
D1120	Prophylaxis–child	5	290	320	$30	$61K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	21	100	180	$60	$58.2K
D0120	Periodic oral evaluation - established patient	5	400	430	$20	$44.3K
D0145	N/A	5	50	80	$40	$36.5K
D9420	N/A	7	30	190	$80	$35.9K
D2391	Resin‑based composite – one surface, posterior	58	120	150	$60	$33.1K

Showing 1–10 of 23

Nearby Providers

Other providers in the same ZIP code as Kearney Pediatric Dentistry, L.L.C., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Family Physical Therapy & Sports Center	NE	Physical Therapist	$0	$3.9M
Family Practice Associates P.C.	NE	Family Medicine Physician	$0	$2M
Kearney Regional Medical Center LLC	NE	General Acute Care Hospital	$0	$1.8M
Midwest Encouragement & Counseling Center LLC	NE	Community/Behavioral Health Agency	$0	$1.6M
Bryan Hospital Kearney	NE	General Acute Care Hospital	$0	$1.4M
Kearney Eye Surgical Center, Inc.	NE	Ambulatory Surgical Clinic/Center	$1.3M	$0
Center For Psychological Services PC	NE	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$1.1M
Bryan Hospital Kearney	NE	Family Medicine Physician	$0	$1M
Kearney Ambulatory Surgical Center, LLC	NE	Ambulatory Surgical Clinic/Center	$879.1K	$80.5K
Lindustries, LLC	NE	Ambulatory Surgical Clinic/Center	$789.1K	$0

Kearney Pediatric Dentistry, L.L.C. — Billing Profile & Reimbursement Data

Sign up for Kearney Pediatric Dentistry, L.L.C. — Billing Profile & Reimbursement Data policy alerts

Kearney Pediatric Dentistry, L.L.C. — Billing Profile & Reimbursement Data

Sign up for Kearney Pediatric Dentistry, L.L.C. — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References