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

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

Springfield Pediatric Dentistry (NPI 1811333792)

Field	Value
Entity Type	Organization
Organization	Springfield Pediatric Dentistry
Address	2200 Olympic Street
City	Springfield
State	OH
ZIP	45503
Taxonomy	Pediatric Dentistry
NPI Enumerated	May 17, 2013

Payer Source	Total Paid
Medicaid	$16.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

37 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2930	N/A	34,540	$150	$5.1M
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	20,420	$80	$1.6M
D1120	Prophylaxis–child	57,450	$30	$1.6M
D1208	Topical application of fluoride - excluding varnish	58,680	$20	$1.2M
D0120	Periodic oral evaluation - established patient	45,440	$20	$1M
D2391	Resin‑based composite – one surface, posterior	11,680	$70	$806.1K
D0150	Comprehensive oral evaluation – new or established patient	18,690	$40	$673K
D2392	Post 2 surface resin‑based composite	9,070	$70	$662.3K
D2390	N/A	4,140	$160	$649.5K
D1351	Sealant - per tooth	22,160	$30	$642.6K

Showing 1–10 of 37

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Ohio Distribution

Springfield Pediatric Dentistry — 17 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Ohio

Full comparison — all codes billed, vs. Ohio median

37 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	1	190	700	$170	$480.4K
D2390	N/A	1	10	1,200	$190	$323.5K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	11	920	510	$70	$144K
D1354	N/A	54	120	290	$30	$121.1K
D3220	N/A	54	120	340	$130	$108.7K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…	104	180	190	$70	$95.8K
D2392	Post 2 surface resin‑based composite	22	990	340	$60	$78.4K
D1351	Sealant - per tooth	8	530	380	$30	$67.7K
D2391	Resin‑based composite – one surface, posterior	7	860	260	$60	$60.4K
D2393	Resin-based composite, three surfaces, posterior	504	580	180	$70	$54.7K

Showing 1–10 of 37

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
E Home Behavioral LLC	OH	Substance Use Disorder Rehabilitation Clinic/Center	$0	$20.4M
Careplus Home Healthcare	OH	Home Health Agency	$0	$12.8M
Ashfaq Ahmed	OH	Internal Medicine Physician	$419.8K	$120.3K
Eric Espinosa	OH	Urology Physician	$199.9K	$0
Ananth Annamraju	OH	Specialist	$122.9K	$0
Vlada Mardovin	OH	Specialist	$106K	$0
James Colombo	OH	Urology Physician	$98.9K	$0
Umamaheswara Vellanki	OH	Psychiatry Physician	$98.3K	$0
Aaron Groth	OH	Family Medicine Physician	$90.7K	$0
Arthur Win	OH	Internal Medicine Physician	$83.3K	$3.7K

Springfield Pediatric Dentistry — Billing Profile & Reimbursement Data

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Springfield Pediatric Dentistry — Billing Profile & Reimbursement Data

Sign up for Springfield Pediatric Dentistry — 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