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

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

Leblanc & Associates Dentistry For Children, P.A. (NPI 1790021459)

Field	Value
Entity Type	Organization
Organization	Leblanc & Associates Dentistry For Children, P.A.
Address	15151 S Blackbob Rd
City	Olathe
State	KS
ZIP	66062
Taxonomy	Pediatric Dentistry
NPI Enumerated	December 27, 2012

Payer Source	Total Paid
Medicaid	$30.1M
Medicare	$0

Key Findings

LEBLANC & ASSOCIATES DENTISTRY FOR CHILDREN, P.A. is effectively a Medicaid-focused pediatric dental practice: the profile shows no Medicare billing on file and $30.1M in lifetime Medicaid revenue, indicating the provider’s commercial scale and cash flow are dominated by public pediatric coverage. The NPI was enumerated on 2012-12-27 (~14 years ago), so this operation has been active and billing Medicaid at scale for over a decade.

Revenue concentration is notable: the precomputed top 3 Medicaid codes by revenue account for 34.5% of this provider's total Medicaid revenue, with D1120, D0120, and D1351 each contributing multi-million-dollar shares of the $30.1M Medicaid total. That concentration on a small set of high-volume preventive and diagnostic codes suggests a business model weighted toward routine preventive visits and sealant services.

The code mix (D1120 – Prophylaxis–child; D0120 – Periodic oral evaluation; D1351 – Sealant - per tooth) indicates a high-throughput preventive pediatric practice: D1120 shows 123.3K claims, $30 avg paid/claim, $3.7M revenue, and D0120 shows 156.3K claims, $22 avg paid/claim, $3.4M revenue, while D1351 reports 135.7K claims, $24 avg paid/claim, $3.3M revenue. High volumes of D1206 (164.2K claims, $18 avg, $3M revenue) and radiographic codes such as D0230 (122.4K claims, $10 avg, $1.2M revenue) further support that this practice delivers frequent preventive visits, topical fluoride, and routine imaging as core services.

Competitive standing within Kansas is dominant for pediatric/preventive codes: D1120 ranks #1 of 363 providers in-state (100th percentile; extreme outlier), D0120 ranks #1 of 394 providers in-state (100th percentile; extreme outlier), and D1206 ranks #1 of 320 providers in-state (100th percentile; extreme outlier). Several additional codes (D0230, D0274, D0272, D0330, D9230, D0220, D0150) also rank #1 in-state at the 100th percentile or near it, which collectively signals this provider is a market leader for high-volume pediatric dental services statewide.

Although the practice is strongly prevention-focused, procedural and restorative work is also present: D2930 shows 26.6K claims, $106 avg paid/claim, $2.8M revenue and D7140 reports 18.5K claims, $74 avg paid/claim, $1.4M revenue, while posterior composite codes D2392 and D2391 contribute meaningful revenue ($1.6M and $1.2M respectively). These entries indicate the operation handles a substantial volume of operative and extraction procedures in addition to routine preventive care, consistent with a busy pediatric dental clinic.

The provider’s statewide percentile rankings are frequently labeled as “extreme outlier” or in the 99–100th percentiles for many high-volume codes (several listed as 100th percentile, others at 99th), underlining that LEBLANC & ASSOCIATES operates at volumes far above typical in-state peers rather than modest participation. This pattern suggests an unusually large patient panel or centralized regional referral role for routine pediatric dental services within Kansas Medicaid.

Payer mix risk is concentrated: there is no Medicare revenue on file and Medicaid accounts for the full reported lifetime public-payer revenue, making the practice effectively single-payer dependent on Medicaid ($30.1M). That concentration creates operational sensitivity to Medicaid policy, reimbursement changes, and state-level enrollment shifts because the business is not diversified across Medicare or other payers.

Operational implications for partners and payers include predictable, high-frequency encounters tied to preventive codes and standard pediatric procedures; the heavy reliance on D1120, D0120, D1351 and D1206 suggests scheduling, supply needs, and staffing are optimized for preventive throughput and same-day restorative care. Given the provider’s demonstrated statewide dominance on these codes, managed care plans and state programs should view this office as a major access point for pediatric dental services and a key stakeholder in Medicaid dental policy discussions.

Medicaid: Complete Services Breakdown

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

28 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1120	Prophylaxis–child	123,320	$30	$3.7M
D0120	Periodic oral evaluation - established patient	156,330	$20	$3.4M
D1351	Sealant - per tooth	135,690	$20	$3.3M
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	164,240	$20	$3M
D2930	N/A	26,630	$110	$2.8M
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	42,390	$40	$1.8M
D2392	Post 2 surface resin‑based composite	22,900	$70	$1.6M
D0274	N/A	52,780	$30	$1.6M
D0272	N/A	72,540	$20	$1.5M
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	18,480	$70	$1.4M

Showing 1–10 of 28

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Kansas Distribution

Leblanc & Associates Dentistry For Children, P.A. — 17 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kansas

Full comparison — all codes billed, vs. Kansas median

28 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	1	60	1,370	$120	$359.9K
D1351	Sealant - per tooth	2	210	1,490	$20	$189.4K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	1	320	590	$30	$120.1K
D1120	Prophylaxis–child	1	360	540	$40	$108.9K
D2392	Post 2 surface resin‑based composite	2	190	330	$80	$107.8K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	2	130	340	$80	$107.5K
D3220	N/A	6	30	540	$60	$96.1K
D2391	Resin‑based composite – one surface, posterior	2	170	240	$70	$81K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	1	340	380	$60	$75.7K
D0120	Periodic oral evaluation - established patient	1	390	560	$20	$68.5K

Showing 1–10 of 28

Nearby Providers

Other providers in the same ZIP code as Leblanc & Associates Dentistry For Children, P.A., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kidstlc, Inc.	KS	Community/Behavioral Health Agency	$0	$48M
Option Services, Inc	KS	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$33.6M
Reflection Of Peace Home Care And Assisted Living	KS	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$6.7M
Midwest Homestead Of Olathe Operations, LLC	KS	Assisted Living Facility	$0	$4.4M
Community Treatment Services, LLC	KS	Mental Health Counselor	$0	$3.6M
Midwest Homestead Of Olathe Operations, LLC	KS	Assisted Living Facility	$0	$3.4M
Health Partnership Clinic, Inc.	KS	Federally Qualified Health Center (FQHC)	$0	$2.4M
David Cobb	KS	Pediatric Dentistry	$0	$2M
Kingdom Transportation LLC	KS	Non-emergency Medical Transport (VAN)	$0	$1.2M
Sweet Tooth Olathe, LLC	KS	Dental Clinic/Center	$0	$844.7K

Leblanc & Associates Dentistry For Children, P.A. — Billing Profile & Reimbursement Data

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Leblanc & Associates Dentistry For Children, P.A. — 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

Nearby Providers

Frequently Asked Questions

References