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

Why is the Medicaid comparison limited to South Carolina 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. South Carolina (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.

Prime Pediatric Dentistry (NPI 1811405400)

Field	Value
Entity Type	Organization
Organization	Prime Pediatric Dentistry
Address	2420 Hoffmeyer Rd Unit A
City	Florence
State	SC
ZIP	29501
Taxonomy	Dental Clinic/Center
NPI Enumerated	January 17, 2018

Payer Source	Total Paid
Medicaid	$2.9M
Medicare	$0

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
D2930	N/A	6,410	$120	$775.5K
D2934	N/A	2,320	$130	$290.1K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	2,480	$80	$208.3K
D3220	N/A	2,360	$80	$186.6K
D1120	Prophylaxis–child	5,230	$30	$167.5K
D9248	N/A	2,270	$60	$143.1K
D2392	Post 2 surface resin‑based composite	1,220	$100	$121K
D9230	N/A	3,120	$30	$93.6K
D0140	Limited oral evaluation – problem focused	2,500	$40	$92.6K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	5,970	$20	$89.6K

Showing 1–10 of 28

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. South Carolina Distribution

Prime Pediatric Dentistry — 1 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Carolina

Full comparison — all codes billed, vs. South Carolina median

28 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	11	130	1,060	$150	$371.1K
D2392	Post 2 surface resin‑based composite	113	350	520	$100	$175.3K
D1120	Prophylaxis–child	96	470	600	$30	$156.7K
D9248	N/A	15	50	920	$70	$126.1K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	39	290	380	$90	$125K
D9230	N/A	64	210	1,150	$30	$115.5K
D2391	Resin‑based composite – one surface, posterior	81	300	270	$80	$110.5K
D1351	Sealant - per tooth	71	200	840	$30	$108.9K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	290	590	850	$50	$104.9K
D0120	Periodic oral evaluation - established patient	144	610	1,060	$20	$100K

Showing 1–10 of 28

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nightingale's Nursing & Attendant Care Services, Inc.	SC	Home Health Agency	$0	$90M
Florence Ck, LLC	SC	Home Health Agency	$0	$13.3M
Lifehme, Inc.	SC	Oxygen Equipment & Supplies (DME)	$0	$12M
Hopehealth, Inc.	SC	Federally Qualified Health Center (FQHC)	$0	$11.1M
Advanced Healthcare Staffing Solutions, LLC	SC	Home Health Agency	$0	$11M
Irby Street Dental Health Center, P.C.	SC	General Practice Dentistry	$0	$10.5M
Tender Care Home Health Care LLC	SC	Home Health Agency	$0	$8.1M
Active Sc One, Inc.	SC	Adult Day Care Clinic/Center	$0	$5.2M
Starting Point Of Florence, Inc	SC	Substance Use Disorder Rehabilitation Clinic/Center	$181.2K	$4.6M
Florence County Commission On Alcohol And Dru	SC	Substance Abuse Rehabilitation Facility	$0	$4.5M

Prime Pediatric Dentistry — Billing Profile & Reimbursement Data

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Prime Pediatric Dentistry — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References