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

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

Bloomington Pediatric Dentistry L.L.C. (NPI 1780850628)

Field	Value
Entity Type	Organization
Organization	Bloomington Pediatric Dentistry L.L.C.
Address	477 S Landmark Ave
City	Bloomington
State	IN
ZIP	47403
Taxonomy	Pediatric Dentistry
NPI Enumerated	May 1, 2008

Payer Source	Total Paid
Medicaid	$3.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

20 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2930	N/A	4,050	$120	$469.2K
D1351	Sealant - per tooth	16,930	$20	$355.5K
D0120	Periodic oral evaluation - established patient	18,910	$20	$340.3K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	18,530	$20	$315K
D1120	Prophylaxis–child	11,650	$30	$314.6K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	6,350	$40	$234.8K
D2391	Resin‑based composite – one surface, posterior	3,760	$40	$158.1K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	2,350	$60	$145.8K
D2392	Post 2 surface resin‑based composite	2,550	$50	$137.9K
D9230	N/A	5,700	$20	$136.7K

Showing 1–10 of 20

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Indiana Distribution

Bloomington Pediatric Dentistry L.L.C. — 4 of 20 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Indiana

Full comparison — all codes billed, vs. Indiana median

20 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	42	170	1,180	$130	$370.2K
D1351	Sealant - per tooth	37	450	780	$20	$118.4K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	106	540	460	$70	$106.9K
D2392	Post 2 surface resin‑based composite	102	720	400	$60	$76.5K
D1120	Prophylaxis–child	53	970	450	$30	$69K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	59	1,230	660	$40	$67K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	27	750	530	$20	$56.9K
D0120	Periodic oral evaluation - established patient	34	1,360	800	$20	$53.2K
D9230	N/A	31	370	490	$30	$46.8K
D2391	Resin‑based composite – one surface, posterior	27	580	280	$50	$43.3K

Showing 1–10 of 20

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Centerstone Of Indiana, Inc.	IN	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$318.8M
Southern Indiana Pediatrics, LLC	IN	Pediatrics Physician	$0	$10.7M
Limestone Health, LLC	IN	Methadone Clinic	$116.1K	$9M
Prime Healthcare Services - Monroe LLC	IN	General Acute Care Hospital	$0	$5.7M
Hands At Home, LLC	IN	Home Health Agency	$0	$4.1M
Integ Health System, P.C.	IN	Ambulatory Surgical Clinic/Center	$1.8M	$403.1K
Joseph Mackey	IN	Ophthalmology Physician	$2M	$0
Southern Indiana Surgery Center, LLC	IN	Ambulatory Surgical Clinic/Center	$1.4M	$516.1K
Warren Chang	IN	Ophthalmology Physician	$1.5M	$0
Bloomington Advanced Surgery Center, LLC	IN	Ambulatory Surgical Clinic/Center	$1.1M	$0

Bloomington Pediatric Dentistry L.L.C. — Billing Profile & Reimbursement Data

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Bloomington Pediatric Dentistry L.L.C. — Billing Profile & Reimbursement Data

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

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References