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

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

The Children's Dental Group, LLC (NPI 1851439459)

Field	Value
Entity Type	Organization
Organization	The Children's Dental Group, LLC
Address	560 Thornton Rd
City	Lithia Springs
State	GA
ZIP	30122
Taxonomy	Pediatric Dentistry
NPI Enumerated	February 3, 2007

Payer Source	Total Paid
Medicaid	$9.3M
Medicare	$0

Key Findings

This entity is effectively a Medicaid-focused pediatric dental practice: there is no Medicare billing on file and Total Medicaid revenue is $9.3M, indicating the provider’s commercial footprint (if any) is not reflected in Medicare claims data. Analysts should treat this profile as single-payer (Medicaid) for claims-driven competitive analysis and network planning.

Revenue is concentrated in a small set of dental procedures: the precomputed top 3 Medicaid codes account for 36.0% of this provider's total Medicaid revenue, led by D2930 ($1.3M, 15.2%), D1120 ($1.1M, 12.0%), and D0120 ($778.9K, 8.8%). Those three codes alone drive more than one-third of reported Medicaid dollars and define the clinic’s core revenue drivers.

The code mix and volumes point to a high-throughput pediatric preventive and restorative operation: large claim counts for preventive visits (D0120: 41K claims; D1120: 39.4K claims) and sealants (D1351: 21.8K claims) combined with substantial restorative coding (D2392: 7.8K claims; D2391: 3.5K claims) indicate a practice model built around routine well-child dental visits plus same-visit caries management. This pattern aligns with pediatric dentistry taxonomy and suggests operational emphasis on visit-based, high-volume preventive care with on‑site restorative capacity.

State-level competitive standing is strong for core pediatric services: D1120 ranks #2 of 142 providers in-state (99th percentile), D0120 ranks #3 of 149 (99th percentile), and D2930 ranks #2 of 41 (98th percentile). These percentile and rank positions indicate the provider is a major statewide participant for common pediatric preventive and restorative codes rather than a modest or niche provider.

There are clear statistical outliers within the Medicaid code mix that warrant attention: D1206 (Topical Fluoride Treatment) is labeled an "extreme outlier, far above typical state volume" with 34K claims and $509.5K revenue, while D0240 is described as "notably above typical state volume" (8.2K claims, $122.4K). Additionally, D2932 is listed as rank #1 of 1 providers in-state (no peer volume comparison available), which means some codes have unique or non-comparable state-level footprints that should be treated cautiously in benchmarking.

Operational throughput is reflected in very high claim volumes for low-dollar preventive codes and moderate volumes for higher-dollar restorative codes: D0120 (41K claims at $19 avg paid/claim), D1120 (39.4K claims at $27 avg paid/claim), and D1206 (34K claims at $15 avg paid/claim) illustrate dependence on high visit counts, while restorative items such as D2392 ($623.8K revenue at $80 avg paid/claim) contribute sizable dollars with far fewer claims. This mix suggests revenue scale is generated by both high-frequency low-reimbursement preventive care and targeted higher-reimbursement restorative procedures.

Average paid-per-claim patterns show reliance on many low‑value preventive claims plus selective higher‑yield procedures: examples include D1120 ($27 avg paid/claim), D0120 ($19 avg paid/claim), and D2930 ($141 avg paid/claim), and the presence of D9410 ($438 avg paid/claim) indicates occasional use of higher-priced codes that materially increase revenue without high claim counts. For payers, this means utilization management and reimbursement policy on a few higher-priced codes could have outsized effects on the provider’s Medicaid revenue profile.

The provider has an established enrollment history that supports continuity: NPI enumerated (registered) 2007-02-03 (~19 years ago), which combined with $9.3M lifetime Medicaid revenue and high state ranks points to an entrenched, experienced pediatric dentistry practice in LITHIA SPRINGS, GA. That tenure and the documented statewide position make the provider a relevant candidate for network inclusion discussions or targeted quality and utilization reviews.

Medicaid: Complete Services Breakdown

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

39 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2930	N/A	9,560	$140	$1.3M
D1120	Prophylaxis–child	39,380	$30	$1.1M
D0120	Periodic oral evaluation - established patient	40,990	$20	$778.9K
D2392	Post 2 surface resin‑based composite	7,800	$80	$623.8K
D1351	Sealant - per tooth	21,770	$30	$609.6K
D0274	N/A	20,580	$30	$576.4K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	33,970	$20	$509.5K
D0272	N/A	23,630	$20	$425.3K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	5,910	$60	$348.8K
D0150	Comprehensive oral evaluation – new or established patient	9,030	$30	$270.9K

Showing 1–10 of 39

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Georgia Distribution

The Children's Dental Group, LLC — 13 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Georgia

Full comparison — all codes billed, vs. Georgia median

39 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D9420	N/A	3	10	150	$1,150	$748.3K
D2930	N/A	2	40	300	$170	$529.9K
D2934	N/A	5	10	330	$140	$291.4K
D2392	Post 2 surface resin‑based composite	3	80	270	$90	$262.3K
D2391	Resin‑based composite – one surface, posterior	6	60	190	$80	$186.8K
D1351	Sealant - per tooth	2	70	580	$30	$176.7K
D3220	N/A	3	20	140	$90	$175.7K
D1120	Prophylaxis–child	2	140	620	$30	$173.7K
D2932	N/A	1	10	1,140	$140	$160.4K
D9410	N/A	3	10	240	$390	$140.2K

Showing 1–10 of 39

Nearby Providers

Other providers in the same ZIP code as The Children's Dental Group, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Antonio Lacey	GA	Professional Counselor	$0	$528.8K
Dca Diagnostics, LLC	GA	Ambulatory Surgical Clinic/Center	$415.2K	$0
Unity Ambulance Service	GA	Land Ambulance	$319.5K	$0
Dadron Harris	GA	Mental Health Counselor	$0	$285.2K
Wyatt's Rx LLC	GA	Pharmacy	$116.7K	$80.6K
Suzanne Csorna	GA	Women's Health Nurse Practitioner	$45.2K	$0
Vivian Adu-aboagye	GA	Family Nurse Practitioner	$12.8K	$0

The Children's Dental Group, LLC — Billing Profile & Reimbursement Data

Sign up for The Children's Dental Group, LLC — Billing Profile & Reimbursement Data policy alerts

The Children's Dental Group, LLC — Billing Profile & Reimbursement Data

Sign up for The Children's Dental Group, LLC — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References