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

Why is the Medicaid comparison limited to Oregon 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. Oregon (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 Kids Dentist LLC (NPI 1831603018)

Field	Value
Entity Type	Organization
Organization	Springfield Kids Dentist LLC
Address	5895 Main St
City	Springfield
State	OR
ZIP	97478
Taxonomy	Pediatric Dentistry
NPI Enumerated	November 26, 2017

Payer Source	Total Paid
Medicaid	$2.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

40 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1120	Prophylaxis–child	19,950	$20	$458.9K
D2930	N/A	6,030	$50	$295.6K
D0120	Periodic oral evaluation - established patient	15,610	$20	$281.1K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	20,040	$10	$200.4K
D2391	Resin‑based composite – one surface, posterior	3,510	$40	$140.4K
D2392	Post 2 surface resin‑based composite	2,820	$50	$132.4K
D1351	Sealant - per tooth	7,700	$20	$123.1K
D0272	N/A	10,600	$10	$116.6K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	2,080	$50	$93.7K
D1354	N/A	12,700	$10	$88.9K

Showing 1–10 of 40

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Oregon Distribution

Springfield Kids Dentist LLC — 12 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Oregon

Full comparison — all codes billed, vs. Oregon median

40 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	9	90	530	$120	$244.4K
D3220	N/A	20	40	140	$120	$92.6K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	29	270	200	$40	$60.1K
D1120	Prophylaxis–child	8	480	350	$30	$55.5K
D2392	Post 2 surface resin‑based composite	24	360	260	$50	$47.6K
D0120	Periodic oral evaluation - established patient	8	610	460	$20	$40.9K
D9420	N/A	15	20	170	$130	$40.8K
D0140	Limited oral evaluation – problem focused	28	560	240	$30	$37.9K
D2929	N/A	6	10	90	$180	$35.2K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	116	500	280	$30	$30.5K

Showing 1–10 of 40

Nearby Providers

Other providers in the same ZIP code as Springfield Kids Dentist LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rainrock Treatment Center, LLC	OR	Mental Illness Community Based Residential Treatment Facility	$0	$11.4M
Lincare Inc.	OR	Durable Medical Equipment & Medical Supplies	$0	$2.6M
Kendra Ragan	OR	Acute Care Nurse Practitioner	$108.5K	$0

Springfield Kids Dentist LLC — Billing Profile & Reimbursement Data

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Springfield Kids Dentist LLC — Billing Profile & Reimbursement Data

Sign up for Springfield Kids Dentist LLC — 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