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.

Shoals Pediatric Dentistry, P.C. (NPI 1851488233)

Field	Value
Entity Type	Organization
Organization	Shoals Pediatric Dentistry, P.C.
Address	640 Cox Creek Pkwy
City	Florence
State	AL
ZIP	35630
Taxonomy	Pediatric Dentistry
NPI Enumerated	October 6, 2006

Payer Source	Total Paid
Medicaid	$3.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

27 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D3240	N/A	2,610	$150	$384.3K
D2930	N/A	3,200	$100	$303.9K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	5,500	$50	$296.8K
D1120	Prophylaxis–child	10,250	$30	$266.4K
D2150	Amalgam - two surfaces, primary or permanent	4,470	$60	$254.5K
D0120	Periodic oral evaluation - established patient	13,400	$20	$241.3K
D1208	Topical application of fluoride - excluding varnish	13,500	$10	$189.1K
D1999	N/A	9,680	$20	$184K
D9230	N/A	6,790	$20	$135.7K
D2140	Amalgam - one surface, primary or permanent	2,410	$50	$111K

Showing 1–10 of 27

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

Shoals Pediatric Dentistry, P.C. — 3 of 25 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

27 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D3240	N/A	2	10	1,230	$150	$383.7K
D2930	N/A	29	120	1,240	$90	$233.9K
D3230	N/A	7	10	190	$120	$218.2K
D2392	Post 2 surface resin‑based composite	259	280	520	$70	$144.9K
D1120	Prophylaxis–child	59	520	810	$30	$104.3K
D1999	N/A	46	300	1,280	$20	$81.5K
D0120	Periodic oral evaluation - established patient	59	620	810	$20	$77.2K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	12	190	490	$50	$76.2K
D3220	N/A	37	60	350	$70	$70.1K
D0240	N/A	31	70	1,300	$20	$65.2K

Showing 1–10 of 27

Nearby Providers

Other providers in the same ZIP code as Shoals Pediatric Dentistry, P.C., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Infants And Childrens Clinic PC	AL	Pediatrics Physician	$0	$8.7M
Shoals Pediatric Group PC	AL	Pediatrics Physician	$0	$4.4M
Pinnacle Medical Solutions LLC	AL	Durable Medical Equipment & Medical Supplies	$0	$4.4M
Stepping Stone Pediatric Therapy, Inc.	AL	Occupational Therapist	$0	$4.1M
Lifeguard Ambulance Service LLC	AL	Land Ambulance	$1.9M	$1.6M
Rchp - Florence LLC	AL	General Acute Care Hospital	$0	$3.4M
Alahealth, Inc.	AL	Case Management Agency	$0	$3.2M
Heather Brody	AL	Hematology & Oncology Physician	$3.1M	$0
Shoals Hospice LLC	AL	Community Based Hospice Care Agency	$0	$3M
The Pediatric Dental Clinic	AL	Pediatric Dentistry	$0	$3M

Shoals Pediatric Dentistry, P.C. — Billing Profile & Reimbursement Data

Sign up for Shoals Pediatric Dentistry, P.C. — Billing Profile & Reimbursement Data policy alerts

Shoals Pediatric Dentistry, P.C. — Billing Profile & Reimbursement Data

Sign up for Shoals Pediatric Dentistry, P.C. — 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