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

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

Playhouse Dentistry For Kids (NPI 1801274253)

Field	Value
Entity Type	Organization
Organization	Playhouse Dentistry For Kids
Address	125 S 10th E
City	Mountain Home
State	ID
ZIP	83647
Taxonomy	Pediatric Dentistry
NPI Enumerated	May 18, 2015

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.

26 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1120	Prophylaxis–child	9,000	$70	$629.6K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	3,310	$110	$347.9K
D2392	Post 2 surface resin‑based composite	2,440	$90	$212K
D2391	Resin‑based composite – one surface, posterior	1,630	$70	$106.2K
D0150	Comprehensive oral evaluation – new or established patient	1,520	$70	$103K
D0210	Intraoral - complete series of radiographic images	620	$150	$94.5K
D0330	N/A	1,230	$50	$58K
D0145	N/A	370	$70	$25.7K
D1351	Sealant - per tooth	9,980	$1	$20K
D9420	N/A	80	$190	$14.8K

Showing 1–10 of 26

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Idaho Distribution

Playhouse Dentistry For Kids — 0 of 17 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Idaho

Full comparison — all codes billed, vs. Idaho median

26 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	38	50	750	$70	$171.2K
D1120	Prophylaxis–child	19	250	180	$60	$143K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	28	320	310	$80	$80.8K
D9420	N/A	30	40	180	$150	$80.8K
D2392	Post 2 surface resin‑based composite	29	190	280	$60	$72.9K
D0210	Intraoral - complete series of radiographic images	30	120	140	$120	$66K
D0145	N/A	17	30	370	$50	$44K
D2393	Resin-based composite, three surfaces, posterior	73	70	140	$120	$41.6K
D0330	N/A	29	170	170	$50	$35.6K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	87	110	300	$30	$32.4K

Showing 1–10 of 26

Nearby Providers

Other providers in the same ZIP code as Playhouse Dentistry For Kids, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St Lukes Clinic-treasure Valley LLC	ID	Family Medicine Physician	$0	$6.9M
Advanced Therapy Care PLLC	ID	Hearing and Speech Clinic/Center	$0	$5.5M
Sequel Tsi Of Idaho, LLC	ID	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$3.7M
Glenns Ferry Health Center, Inc.	ID	Federally Qualified Health Center (FQHC)	$0	$3.3M
St Lukes Regional Medical Center	ID	Critical Access Hospital	$0	$940.7K
County Of Elmore	ID	Land Ambulance	$246.9K	$634.2K
Mountain Home School District 193	ID	Local Education Agency (LEA)	$0	$611.8K
Scott Baldridge	ID	Sleep Medicine (Family Medicine) Physician	$86K	$0
Timothy Muhonen	ID	Family Medicine Physician	$85.3K	$0
Anson Call	ID	Physical Therapist	$55.1K	$0

Playhouse Dentistry For Kids — Billing Profile & Reimbursement Data

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Playhouse Dentistry For Kids — Billing Profile & Reimbursement Data

Sign up for Playhouse Dentistry For Kids — 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