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

Why is the Medicaid comparison limited to South Carolina 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. South Carolina (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.

Foothills Pediatric Dentistry, PA (NPI 1891938973)

Field	Value
Entity Type	Organization
Organization	Foothills Pediatric Dentistry, PA
Address	240 N Grove Medical Park Dr
City	Spartanburg
State	SC
ZIP	29303
Taxonomy	Pediatric Dentistry
NPI Enumerated	April 20, 2009

Payer Source	Total Paid
Medicaid	$4.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

23 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1120	Prophylaxis–child	28,480	$40	$996.8K
D0120	Periodic oral evaluation - established patient	27,320	$20	$628.3K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	36,430	$20	$582.8K
D2392	Post 2 surface resin‑based composite	4,110	$100	$414.8K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	8,100	$50	$413.2K
D9230	N/A	9,970	$30	$318.9K
D0150	Comprehensive oral evaluation – new or established patient	6,410	$40	$262.7K
D0272	N/A	10,460	$20	$198.7K
D2930	N/A	1,580	$120	$192.6K
D0330	N/A	3,510	$50	$179.1K

Showing 1–10 of 23

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. South Carolina Distribution

Foothills Pediatric Dentistry, PA — 5 of 23 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Carolina

Full comparison — all codes billed, vs. South Carolina median

23 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	59	130	1,060	$150	$371.1K
D2392	Post 2 surface resin‑based composite	34	350	520	$100	$175.3K
D1120	Prophylaxis–child	16	470	600	$30	$156.7K
D9248	N/A	43	50	920	$70	$126.1K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	116	290	380	$90	$125K
D9230	N/A	15	210	1,150	$30	$115.5K
D2391	Resin‑based composite – one surface, posterior	57	300	270	$80	$110.5K
D1351	Sealant - per tooth	75	200	840	$30	$108.9K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	20	590	850	$50	$104.9K
D0120	Periodic oral evaluation - established patient	14	610	1,060	$20	$100K

Showing 1–10 of 23

Nearby Providers

Other providers in the same ZIP code as Foothills Pediatric Dentistry, PA, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Spartanburg Medical Center	SC	General Acute Care Hospital	$0	$187.7M
Axcess Healthcare Services, LLC	SC	Nursing Care Agency	$0	$98.5M
South Carolina Dept Of Mental Health Accounting Office	SC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$40M
Spartanburg Medical Center	SC	Emergency Medicine Physician	$0	$17.2M
Spartanburg Medical Center	SC	Family Medicine Physician	$0	$17M
Spartanburg Medical Center	SC	Maternal & Fetal Medicine Physician	$0	$11.5M
Better Beginnings, Inc	SC	Pediatric Occupational Therapist	$0	$6.9M
Whitney Road Dental Health Center, P.C.	SC	General Practice Dentistry	$0	$6.3M
Bhg Xxxviii, LLC	SC	Substance Use Disorder Rehabilitation Clinic/Center	$264.8K	$3.5M
Upstate Carolina Radiology PA	SC	Diagnostic Radiology Physician	$0	$3.2M

Foothills Pediatric Dentistry, PA — Billing Profile & Reimbursement Data

Sign up for Foothills Pediatric Dentistry, PA — Billing Profile & Reimbursement Data policy alerts

Foothills Pediatric Dentistry, PA — Billing Profile & Reimbursement Data

Sign up for Foothills Pediatric Dentistry, PA — 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