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

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

Kulshan Pediatric Dentistry (NPI 1912509464)

Field	Value
Entity Type	Organization
Organization	Kulshan Pediatric Dentistry
Address	2210 Kulshan View Dr Ste 102
City	Mount Vernon
State	WA
ZIP	98273
Taxonomy	Pediatric Dentistry
NPI Enumerated	November 10, 2020

Payer Source	Total Paid
Medicaid	$6.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

29 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2392	Post 2 surface resin‑based composite	12,960	$70	$920.2K
D0120	Periodic oral evaluation - established patient	26,040	$30	$729.2K
D2930	N/A	4,390	$160	$693.3K
D2391	Resin‑based composite – one surface, posterior	10,970	$60	$636K
D1208	Topical application of fluoride - excluding varnish	28,090	$20	$589.8K
D1120	Prophylaxis–child	21,640	$20	$497.7K
D1351	Sealant - per tooth	16,650	$30	$416.3K
D9230	N/A	16,650	$20	$383K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	6,990	$40	$286.5K
D0272	N/A	24,220	$10	$242.2K

Showing 1–10 of 29

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Washington Distribution

Kulshan Pediatric Dentistry — 3 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. Washington median

29 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	47	160	1,710	$140	$531.8K
D7240	N/A	67	70	990	$150	$409.8K
D2392	Post 2 surface resin‑based composite	28	540	990	$60	$188.6K
D7230	N/A	43	50	340	$130	$132.9K
D0120	Periodic oral evaluation - established patient	49	920	690	$20	$131.3K
D2391	Resin‑based composite – one surface, posterior	21	480	670	$50	$119.5K
D1120	Prophylaxis–child	51	730	690	$20	$112.8K
D1351	Sealant - per tooth	38	400	1,120	$20	$103.9K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	68	390	640	$50	$98.8K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	431	730	730	$20	$98.5K

Showing 1–10 of 29

Related Providers

Other providers that share a Tax Identification Number (TIN) with Kulshan Pediatric Dentistry, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jon L. Way Dds, Ms, PLLC	WA	Dentist	$0	$5.6M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sea Mar Community Health Centers	WA	Federally Qualified Health Center (FQHC)	$0	$8.7M
Evergreen Recovery Centers	WA	Substance Abuse Rehabilitation Facility	$0	$5.9M
Renal Care Group Northwest, Inc.	WA	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3.5M
Sea Mar Community Health Centers	WA	Federally Qualified Health Center (FQHC)	$0	$3M
Sea-mar Community Health Center	WA	Federally Qualified Health Center (FQHC)	$0	$2.5M
City Of Mount Vernon	WA	Land Ambulance	$412.8K	$1.3M
Amber Fowler	WA	MOHS-Micrographic Surgery Physician	$503.1K	$0
Aaron Yu	WA	Diagnostic Radiology Physician	$283.2K	$0
David Mourning	WA	Orthopaedic Surgery of the Spine Physician	$137.1K	$0
Jeffrey Berger	WA	Psychiatry Physician	$105.2K	$0

Kulshan Pediatric Dentistry — Billing Profile & Reimbursement Data

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Kulshan Pediatric Dentistry — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References