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

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

Professional Dental Alliance Of Ct - Pedo, PLLC (NPI 1942088786)

Field	Value
Entity Type	Organization
Organization	Professional Dental Alliance Of Ct - Pedo, PLLC
Address	1478 Post Rd
City	Fairfield
State	CT
ZIP	06824
Taxonomy	Oral and Maxillofacial Surgery (Dentist)
NPI Enumerated	September 21, 2023

Payer Source	Total Paid
Medicaid	$2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

22 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1120	Prophylaxis–child	11,890	$40	$451.6K
D0120	Periodic oral evaluation - established patient	11,010	$30	$319.1K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	11,670	$20	$280.2K
D2392	Post 2 surface resin‑based composite	3,090	$90	$272.3K
D2391	Resin‑based composite – one surface, posterior	2,540	$70	$187.6K
D0274	N/A	1,870	$40	$76.6K
D0272	N/A	2,480	$30	$67K
D2930	N/A	370	$180	$64.2K
D9230	N/A	1,170	$50	$57.2K
D0140	Limited oral evaluation – problem focused	1,310	$40	$54.8K

Showing 1–10 of 22

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Connecticut Distribution

Professional Dental Alliance Of Ct - Pedo, PLLC — 0 of 22 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Connecticut

Full comparison — all codes billed, vs. Connecticut median

22 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D7240	N/A	21	30	230	$230	$269.6K
D2930	N/A	23	50	340	$170	$246.3K
D9243	N/A	9	10	430	$220	$165.2K
D2392	Post 2 surface resin‑based composite	57	390	620	$80	$144.8K
D1120	Prophylaxis–child	40	660	570	$40	$120.7K
D2391	Resin‑based composite – one surface, posterior	49	330	430	$60	$89.4K
D9230	N/A	40	110	550	$50	$88.3K
D0120	Periodic oral evaluation - established patient	46	730	700	$30	$80.6K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	146	210	370	$70	$79.3K
D1351	Sealant - per tooth	92	190	580	$30	$70K

Showing 1–10 of 22

Nearby Providers

Other providers in the same ZIP code as Professional Dental Alliance Of Ct - Pedo, PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kids First Pediatric Dentistry & Orthodontics	CT	Pediatric Dentistry	$0	$11.9M
St. Vincents Urgent Care LLC	CT	Urgent Care Clinic/Center	$0	$4.2M
Global Pediatrics LLC	CT	Pediatrics Physician	$0	$4M
Connecticut Phlebology PC	CT	Surgery Physician	$0	$3.2M
Ophthalmic Consultants Of Connecticut PC	CT	Ophthalmology Physician	$0	$2.2M
Prime Healthcare Of Southport,llc	CT	Internal Medicine Physician	$0	$1.7M
Total Renal Care Inc	CT	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.1M
Gastroenterology Associates Of Fairfield PC	CT	Ambulatory Surgical Clinic/Center	$685.5K	$0
Jonathan Stein	CT	Ophthalmology Physician	$381.9K	$0
Daniel Machleder	CT	Vascular & Interventional Radiology Physician	$329.9K	$10.9K

Professional Dental Alliance Of Ct - Pedo, PLLC — Billing Profile & Reimbursement Data

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Professional Dental Alliance Of Ct - Pedo, PLLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References