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

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

Alabama Pediatric Dental Associates And Orthodontics (NPI 1851446595)

Field	Value
Entity Type	Organization
Organization	Alabama Pediatric Dental Associates And Orthodontics
Address	4001 Balmoral Dr Sw
City	Huntsville
State	AL
ZIP	35801
Taxonomy	Pediatric Dentistry
NPI Enumerated	January 24, 2007

Payer Source	Total Paid
Medicaid	$4M
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
D1120	Prophylaxis–child	24,290	$30	$777.3K
D0120	Periodic oral evaluation - established patient	30,860	$20	$678.9K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	23,960	$30	$599K
D2392	Post 2 surface resin‑based composite	4,120	$100	$420.1K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	8,810	$40	$378.9K
D0272	N/A	9,430	$20	$188.6K
D2391	Resin‑based composite – one surface, posterior	1,970	$90	$167K
D0330	N/A	2,500	$60	$150.1K
D9230	N/A	5,760	$30	$149.7K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	2,010	$70	$139K

Showing 1–10 of 20

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Alabama Distribution

Alabama Pediatric Dental Associates And Orthodontics — 4 of 18 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. Alabama median

20 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2392	Post 2 surface resin‑based composite	37	280	520	$70	$144.9K
D1120	Prophylaxis–child	23	520	810	$30	$104.3K
D2391	Resin‑based composite – one surface, posterior	61	250	380	$60	$91.8K
D1999	N/A	270	300	1,280	$20	$81.5K
D2393	Resin-based composite, three surfaces, posterior	82	90	170	$90	$78K
D0120	Periodic oral evaluation - established patient	25	620	810	$20	$77.2K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	45	190	490	$50	$76.2K
D0330	N/A	70	390	410	$40	$61.2K
D1208	Topical application of fluoride - excluding varnish	82	540	970	$10	$60.1K
D9230	N/A	45	290	860	$20	$59.2K

Showing 1–10 of 20

Nearby Providers

Other providers in the same ZIP code as Alabama Pediatric Dental Associates And Orthodontics, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tennessee Valley Neonatology, Inc	AL	Neonatal-Perinatal Medicine Physician	$0	$22.2M
The Health Care Authority Of The City Of Huntsville	AL	General Acute Care Hospital	$0	$17.8M
Happi Health	AL	Federally Qualified Health Center (FQHC)	$0	$17.6M
Emergency Physicians Group	AL	Emergency Medicine Physician	$0	$13.5M
Healthgroup Of Alabama	AL	Contractor	$0	$13.4M
The Valley Foundation	AL	Multi-Specialty Clinic/Center	$0	$11.3M
David White	AL	Neurology Physician	$7M	$0
The Children's Hospital Of Alabama	AL	Pediatric Pulmonology Physician	$0	$5.6M
Huntsville Pediatric Associates, LLC	AL	Pediatrics Physician	$0	$4.8M
Dental Associates Of Huntsville, LLC	AL	General Practice Dentistry	$0	$4.7M

Alabama Pediatric Dental Associates And Orthodontics — Billing Profile & Reimbursement Data

Sign up for Alabama Pediatric Dental Associates And Orthodontics — Billing Profile & Reimbursement Data policy alerts

Alabama Pediatric Dental Associates And Orthodontics — Billing Profile & Reimbursement Data

Sign up for Alabama Pediatric Dental Associates And Orthodontics — 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