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

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

Children's Dentistry Of Maine (NPI 1831794239)

Field	Value
Entity Type	Organization
Organization	Children's Dentistry Of Maine
Address	1 Glory Ridge Rd
City	Falmouth
State	ME
ZIP	04105
Taxonomy	Pediatric Dentistry
NPI Enumerated	December 2, 2020

Payer Source	Total Paid
Medicaid	$965.3K
Medicare	$0

Medicaid: Complete Services Breakdown

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

21 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2392	Post 2 surface resin‑based composite	1,850	$110	$201.9K
D1120	Prophylaxis–child	3,990	$50	$191.4K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	4,260	$20	$102.1K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	740	$100	$74.3K
D0120	Periodic oral evaluation - established patient	2,300	$30	$73.6K
D0150	Comprehensive oral evaluation – new or established patient	850	$60	$48.6K
D0272	N/A	1,490	$30	$44.8K
D9230	N/A	1,330	$30	$42.6K
D0140	Limited oral evaluation – problem focused	790	$50	$37.8K
D1351	Sealant - per tooth	1,210	$30	$33.9K

Showing 1–10 of 21

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Maine Distribution

Children's Dentistry Of Maine — 0 of 21 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maine

Full comparison — all codes billed, vs. Maine median

21 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	14	20	230	$140	$315.1K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	34	70	630	$100	$235.5K
D9248	N/A	4	10	1,370	$100	$97.2K
D2392	Post 2 surface resin‑based composite	13	80	260	$80	$88.2K
D1351	Sealant - per tooth	41	80	1,040	$20	$87.6K
D1120	Prophylaxis–child	21	160	500	$30	$56.2K
D0120	Periodic oral evaluation - established patient	26	140	480	$20	$46.8K
D2391	Resin‑based composite – one surface, posterior	42	70	230	$60	$43.2K
D0150	Comprehensive oral evaluation – new or established patient	28	100	310	$50	$39.3K
D0330	N/A	37	110	240	$40	$36.8K

Showing 1–10 of 21

Nearby Providers

Other providers in the same ZIP code as Children's Dentistry Of Maine, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Dental	ME	Dentist	$0	$11.3M
Mainehealth	ME	Pediatrics Physician	$0	$6.6M
Falmouth Pediatric Dentistry	ME	Pediatric Dentistry	$0	$5.2M
Medco Respiratory Instruments, Inc	ME	Durable Medical Equipment & Medical Supplies	$0	$4.3M
Mainehealth	ME	Orthopaedic Surgery Physician	$0	$2.1M
Storeysmith Pediatric Clinic	ME	Speech-Language Pathologist	$0	$499.8K
Town Of Falmouth	ME	Land Ambulance	$154.9K	$76.1K
Adam Rana	ME	Orthopaedic Surgery Physician	$159.4K	$0
Nicholas Colacchio	ME	Orthopaedic Surgery Physician	$143.4K	$0
Stephen Rodrigue	ME	Orthopaedic Surgery Physician	$120.5K	$0

Children's Dentistry Of Maine — Billing Profile & Reimbursement Data

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Children's Dentistry Of Maine — 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