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

Why is the Medicaid comparison limited to New York 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. New York (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.

Mcdonnell And Mcmahon Pediatric Dentistry PLLC (NPI 1821486754)

Field	Value
Entity Type	Organization
Organization	Mcdonnell And Mcmahon Pediatric Dentistry PLLC
Address	713 Pierce Rd
City	Clifton Park
State	NY
ZIP	12065
Taxonomy	Pediatric Dentistry
NPI Enumerated	December 30, 2014

Payer Source	Total Paid
Medicaid	$57M
Medicare	$0

Medicaid: Complete Services Breakdown

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

43 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2392	Post 2 surface resin‑based composite	48,120	$180	$8.7M
D1120	Prophylaxis–child	192,310	$40	$7.5M
D0120	Periodic oral evaluation - established patient	211,730	$40	$7.4M
D2930	N/A	25,910	$250	$6.4M
D1208	Topical application of fluoride - excluding varnish	138,750	$20	$3.3M
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	47,470	$50	$2.6M
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	88,370	$30	$2.5M
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	20,660	$110	$2.3M
D2391	Resin‑based composite – one surface, posterior	17,050	$130	$2.2M
D0272	N/A	75,490	$30	$2.1M

Showing 1–10 of 43

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. New York Distribution

Mcdonnell And Mcmahon Pediatric Dentistry PLLC — 21 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New York

Full comparison — all codes billed, vs. New York median

43 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D8670	N/A	138	430	1,210	$170	$513.1K
D8080	N/A	9	130	90	$920	$224K
D2930	N/A	2	380	320	$150	$186.1K
D9243	N/A	67	140	270	$120	$181.3K
00170	The provider performs anesthesia services for a patient undergoing an intraoral procedure, including biopsy.	27	60	110	$180	$162.6K
D2390	N/A	1	10	280	$230	$151.6K
D9223	N/A	16	170	250	$160	$138.9K
D9239	N/A	63	130	280	$60	$108.2K
D2392	Post 2 surface resin‑based composite	1	2,080	250	$80	$85.4K
D9996	N/A	15	40	100	$60	$83.6K

Showing 1–10 of 43

Nearby Providers

Other providers in the same ZIP code as Mcdonnell And Mcmahon Pediatric Dentistry PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dorothy Lacombe	NY	Adult Health Nurse Practitioner	$1.4M	$24.3K
Northway Spc LLC	NY	Ambulatory Surgical Clinic/Center	$848.2K	$380.7K
Clifton Park Asc LLC	NY	Ambulatory Surgical Clinic/Center	$817.2K	$32.9K
Howard Schlossberg	NY	Hematology & Oncology Physician	$816.2K	$0
Justin Juliano	NY	Radiation Oncology Physician	$754.9K	$0
Adriana Lisinschi	NY	Hematology & Oncology Physician	$556.2K	$0
Sunitha Sukumaran	NY	Hematology & Oncology Physician	$365K	$790
Charles Gordon	NY	Interventional Pain Medicine Physician	$175.3K	$4.5K
John Taggert	NY	Surgery Physician	$142K	$740
Christina Paddon	NY	Family Nurse Practitioner	$110.8K	$0

Mcdonnell And Mcmahon Pediatric Dentistry PLLC — Billing Profile & Reimbursement Data

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Mcdonnell And Mcmahon Pediatric Dentistry PLLC — 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