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

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

South Baldwin Dental Associates (NPI 1770229023)

Field	Value
Entity Type	Organization
Organization	South Baldwin Dental Associates
Address	101 N Cedar St
City	Foley
State	AL
ZIP	36535
Taxonomy	General Practice Dentistry
NPI Enumerated	May 10, 2022

Payer Source	Total Paid
Medicaid	$1.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

25 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1354	N/A	15,320	$40	$582.2K
D2930	N/A	1,300	$120	$153.6K
D2392	Post 2 surface resin‑based composite	1,650	$90	$145.1K
D1120	Prophylaxis–child	2,880	$30	$77.7K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	2,750	$30	$68.8K
D0150	Comprehensive oral evaluation – new or established patient	2,150	$30	$66.7K
D0230	Intraoral - periapical each additional radiographic image	6,040	$10	$60.4K
D2393	Resin-based composite, three surfaces, posterior	540	$110	$58.9K
D1351	Sealant - per tooth	2,800	$20	$53.2K
D0120	Periodic oral evaluation - established patient	2,480	$20	$47K

Showing 1–10 of 25

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Alabama Distribution

South Baldwin Dental Associates — 0 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. Alabama median

25 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	58	120	1,240	$90	$233.9K
D1354	N/A	12	90	1,190	$20	$210.5K
D2392	Post 2 surface resin‑based composite	84	280	520	$70	$144.9K
D3330	N/A	15	20	40	$460	$115K
D1120	Prophylaxis–child	152	520	810	$30	$104.3K
D2391	Resin‑based composite – one surface, posterior	139	250	380	$60	$91.8K
D2393	Resin-based composite, three surfaces, posterior	24	90	170	$90	$78K
D0120	Periodic oral evaluation - established patient	202	620	810	$20	$77.2K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	100	190	490	$50	$76.2K
D1351	Sealant - per tooth	49	180	710	$20	$63.3K

Showing 1–10 of 25

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Gary A. Eberly, Md PC	AL	Pediatrics Physician	$0	$5.5M
South Baldwin Childrens Center PC	AL	Pediatrics Physician	$0	$4.6M
Foley Hospital Company LLC	AL	General Acute Care Hospital	$0	$4.5M
Sea Smiles, LLC	AL	Pediatric Dentistry	$0	$2.1M
Foley Emergency Physicians, LLC	AL	Emergency Medicine Physician	$0	$1.6M
Emerald Sands Medical Center	AL	Primary Care Clinic/Center	$0	$1.2M
Gulf Coast Counseling Services	AL	Addiction (Substance Use Disorder) Counselor	$0	$1.1M
Samuel Townsley	AL	General Practice Dentistry	$0	$848.8K
Med-trans Corporation	AL	Air Ambulance	$423.5K	$49K
Vanna Eslava	AL	Family Nurse Practitioner	$391.6K	$0

South Baldwin Dental Associates — Billing Profile & Reimbursement Data

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South Baldwin Dental Associates — 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