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

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

Rose Park Pediatric Dentistry, PC (NPI 1831338623)

Field	Value
Entity Type	Organization
Organization	Rose Park Pediatric Dentistry, PC
Address	55 N Redwood Rd Ste B
City	Salt Lake City
State	UT
ZIP	84116
Taxonomy	Pediatric Dentistry
NPI Enumerated	February 18, 2009

Payer Source	Total Paid
Medicaid	$1.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

20 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D0120	Periodic oral evaluation - established patient	10,230	$80	$848.7K
D1351	Sealant - per tooth	3,780	$40	$132.3K
D0220	Intraoral - periapical first radiographic image	1,690	$80	$129.8K
D1120	Prophylaxis–child	10,230	$10	$122.7K
D0272	N/A	8,540	$10	$102.4K
D2392	Post 2 surface resin‑based composite	1,270	$70	$83.9K
D0150	Comprehensive oral evaluation – new or established patient	750	$90	$70.6K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	10,880	$10	$65.3K
D2391	Resin‑based composite – one surface, posterior	740	$50	$38.5K
D2150	Amalgam - two surfaces, primary or permanent	1,050	$30	$30.4K

Showing 1–10 of 20

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Utah Distribution

Rose Park Pediatric Dentistry, PC — 4 of 20 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Utah

Full comparison — all codes billed, vs. Utah median

20 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D0120	Periodic oral evaluation - established patient	14	470	460	$80	$149.8K
D1351	Sealant - per tooth	35	190	620	$30	$60.7K
D2930	N/A	29	70	280	$70	$57.7K
D0140	Limited oral evaluation – problem focused	107	260	140	$120	$55.8K
D2150	Amalgam - two surfaces, primary or permanent	49	220	290	$60	$45K
D2392	Post 2 surface resin‑based composite	17	170	170	$80	$39.4K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	28	150	170	$60	$35.9K
D0220	Intraoral - periapical first radiographic image	104	440	470	$20	$32.8K
D0150	Comprehensive oral evaluation – new or established patient	45	420	110	$100	$30.8K
D1120	Prophylaxis–child	14	420	440	$20	$30.7K

Showing 1–10 of 20

Related Providers

Other providers that share a Tax Identification Number (TIN) with Rose Park Pediatric Dentistry, PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
R Ryan Johansen	UT	Pediatric Dentistry	$0	$2.9M
Jared Wolthuis	UT	Dentist	$0	$439.4K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Myriad Genetic Laboratories, Inc.	UT	Clinical Medical Laboratory	$65.9M	$124.8M
First Step House	UT	Substance Abuse Rehabilitation Facility	$0	$46.1M
Ihc Health Services Inc	UT	Air Ambulance	$2.8M	$10.4M
Red Rock Medical Supply	UT	Durable Medical Equipment & Medical Supplies	$0	$7.3M
Community Health Centers, Inc.	UT	Federally Qualified Health Center (FQHC)	$0	$1.1M
Treagan White	UT	Pediatric Dentistry	$0	$614.1K
Health Clinics Of Utah-slc	UT	Family Nurse Practitioner	$0	$609.8K
Your Home Clinic Company	UT	Gerontology Nurse Practitioner	$0	$338.1K

Rose Park Pediatric Dentistry, PC — Billing Profile & Reimbursement Data

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Rose Park Pediatric Dentistry, PC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References