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 U.S. Virgin Islands for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to U.S. Virgin Islands 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. U.S. Virgin Islands (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.

Children's Dental Care, Inc. (NPI 1801162177)

Field	Value
Entity Type	Organization
Organization	Children's Dental Care, Inc.
Address	9003 Upper Havensight Mall
City	St. Thomas
State	VI
ZIP	00802
Taxonomy	Pediatric Dentistry
NPI Enumerated	March 30, 2012

Payer Source	Total Paid
Medicaid	$125.6K
Medicare	$0

Key Findings

This provider is effectively single‑payer in the available data: there is no Medicare billing on file and all reported public‑payer revenue is Medicaid totaling $125.6K. The absence of Medicare claims means comparisons to national Medicare peers are not possible and the provider’s public revenue exposure is concentrated entirely in Medicaid.

Revenue is highly concentrated in a very small set of codes: the top 3 Medicaid codes account for 74.6% of this provider’s total Medicaid revenue. The single largest contributor is D2930 ($74.6K, 59.4% of Medicaid revenue), followed by D9223 ($9.8K, 7.8%) and D7140 ($9.3K, 7.4%), indicating a small number of procedures drive most Medicaid payments.

The provider’s taxonomy is Pediatric Dentistry and the claim mix supports a pediatric-focused practice: codes for child prophylaxis and topical fluoride (D1120, D1206) appear alongside restorative and extraction work (D2391, D7140). Two of the top three revenue codes (D2930 and D9223) have no description available in the dataset, but the overall mix of preventive (D1120, D1206), restorative (D2391), radiographic (D0230/D0220), and extraction (D7140) codes indicates routine pediatric preventive and restorative services plus some urgent/extraction work.

Competitive standing across in‑state peers is mixed by code: D9223 ranks #1 of 2 providers in‑state (100th percentile; typical, unremarkable volume), while D2930 ranks #2 of 2 (0th percentile; typical, unremarkable volume), and D7140 ranks #7 of 9 (25th percentile; typical, unremarkable volume). In plain terms, the practice shows isolated leadership for D9223 but is otherwise a modest participant for its other high‑revenue procedure codes at the state level.

Claims-versus-revenue profile shows high claim counts for some low‑value services and concentrated dollars in a few higher‑paid procedures: for example, D0230 appears 421 times at $13 avg paid/claim but only $5.5K total (4.4% of Medicaid revenue), while D2930 represents $74.6K (59.4%) from 377 claims at $198 avg paid/claim. This pattern suggests routine imaging and preventive visits generate many encounters with limited revenue per claim, whereas a small number of higher‑paid procedure codes drive most Medicaid payments.

The provider has an established enrollment history in federal directories, with NPI enumeration dated 2012-03-30 (~14 years ago), indicating a long‑standing presence in the market. That tenure, combined with a concentrated code mix, suggests the practice has been operating a stable pediatric service line focused on the procedures reflected in its Medicaid billing.

Operational and revenue risk is concentrated: D2930 alone accounts for 59.4% of Medicaid revenue ($74.6K), so changes in reimbursement or utilization for that single code would materially affect overall Medicaid receipts. Because Medicaid is the sole reported payer, any shifts in pediatric Medicaid policy or patient volume in the territory would have outsized impact on the provider’s public revenue.

Interpretation of competitive positioning is limited by data gaps and small peer pools: several top codes in the dataset lack descriptions (D2930, D9223), and some rank comparisons are against very few in‑state providers (e.g., rankings of 1–2 providers), which reduces confidence in broad market-share conclusions based on state percentile ranks. Additionally, one code (D9222) shows no state peer volume comparison available, further constraining benchmarking for certain services.

Medicaid: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2930	N/A	380	$200	$74.6K
D9223	N/A	240	$40	$9.8K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	110	$90	$9.3K
D1120	Prophylaxis–child	150	$40	$6.2K
D0230	Intraoral - periapical each additional radiographic image	420	$10	$5.5K
D9222	N/A	50	$80	$3.6K
D0150	Comprehensive oral evaluation – new or established patient	60	$60	$3.5K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	120	$30	$3.4K
D2391	Resin‑based composite – one surface, posterior	30	$100	$2.8K
D0220	Intraoral - periapical first radiographic image	140	$20	$2.7K

Showing 1–10 of 15

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. U.S. Virgin Islands Distribution

Children's Dental Care, Inc. — 1 of 15 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — U.S. Virgin Islands

Full comparison — all codes billed, vs. U.S. Virgin Islands median

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	7	10	1,120	$160	$299.5K
D2930	N/A	2	10	900	$280	$255.4K
D2391	Resin‑based composite – one surface, posterior	7	10	190	$180	$232.4K
D0150	Comprehensive oral evaluation – new or established patient	10	10	610	$90	$153.7K
D1120	Prophylaxis–child	8	10	680	$70	$101.4K
D9223	N/A	1	10	220	$420	$94.2K
D9310	N/A	5	10	820	$110	$94.1K
D1351	Sealant - per tooth	7	10	200	$60	$92.5K
D1208	Topical application of fluoride - excluding varnish	5	10	260	$50	$89.9K
D0120	Periodic oral evaluation - established patient	9	10	630	$60	$69K

Showing 1–10 of 15

Nearby Providers

Other providers in the same ZIP code as Children's Dental Care, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Duanne Jones	VI	Public Health Dentistry	$0	$33.2M
Vi Government Hospital And Health Facilities Corp	VI	General Acute Care Hospital	$0	$23.6M
The St Thomas East End Medical Center Corporation	VI	Federal Public Health Clinic/Center	$0	$12.8M
Aac-air Ambulance Caribbean Inc.	VI	Air Ambulance	$2M	$8.6M
Vi Relocation Services And Rentals LLC	VI	Land Ambulance	$0	$6.8M
Alicia Prentice	VI	Home Health Aide	$0	$3.9M
Stretcher Plus, LLC	VI	Non-emergency Medical Transport (VAN)	$0	$2.8M
Cog Restore, LLC	VI	Rehabilitation Clinic/Center	$0	$2.1M
Dept Of Health, Govt Of Vi Ems St Thomas	VI	Land Ambulance	$0	$1.5M
Vi Oral Surgery, Inc	VI	Oral and Maxillofacial Surgery (Dentist)	$0	$1.4M

Children's Dental Care, Inc. — Billing Profile & Reimbursement Data

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Children's Dental Care, Inc. — 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