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.

Midlands Dental Group, P.l. (NPI 1942261110)

Field	Value
Entity Type	Organization
Organization	Midlands Dental Group, P.l.
Address	8905 Two Notch Rd
City	Columbia
State	SC
ZIP	29223
Taxonomy	Dental Clinic/Center
NPI Enumerated	March 29, 2006

Payer Source	Total Paid
Medicaid	$7.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

23 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1120	Prophylaxis–child	40,340	$30	$1.4M
D0120	Periodic oral evaluation - established patient	49,850	$20	$1.1M
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	59,110	$20	$945.7K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	18,970	$50	$910.8K
D0272	N/A	33,490	$20	$602.8K
D2392	Post 2 surface resin‑based composite	5,600	$100	$554K
D9230	N/A	12,100	$30	$363K
D0274	N/A	13,900	$30	$361.3K
D0330	N/A	7,610	$40	$319.6K
D1351	Sealant - per tooth	10,020	$30	$280.5K

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

Midlands Dental Group, P.l. — 9 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	101	130	1,060	$150	$371.1K
D7240	N/A	30	60	450	$260	$370K
D2392	Post 2 surface resin‑based composite	19	350	520	$100	$175.3K
D1120	Prophylaxis–child	6	470	600	$30	$156.7K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	88	290	380	$90	$125K
D9230	N/A	10	210	1,150	$30	$115.5K
D2391	Resin‑based composite – one surface, posterior	52	300	270	$80	$110.5K
D1351	Sealant - per tooth	14	200	840	$30	$108.9K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	8	590	850	$50	$104.9K
D0120	Periodic oral evaluation - established patient	6	610	1,060	$20	$100K

Showing 1–10 of 23

Related Providers

Other providers that share a Tax Identification Number (TIN) with Midlands Dental Group, P.l., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
David Ashley	AL	Oral and Maxillofacial Surgery (Dentist)	$0	$1.3M

Nearby Providers

Other providers in the same ZIP code as Midlands Dental Group, P.l., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jamison Consultant's, LLC	SC	Mental Health Counselor	$0	$15.3M
About Play LLC	SC	Early Intervention Provider Agency	$0	$13.3M
State Of South Carolina	SC	Clinical Medical Laboratory	$0	$9.1M
Palmetto Surgery Center LLC	SC	Ambulatory Surgical Clinic/Center	$1.4M	$4.6M
Healthcare Etc, LLC	SC	In Home Supportive Care Agency	$0	$5.4M
Restorative Health Services Of Sc, LLC	SC	In Home Supportive Care Agency	$0	$3.9M
Dent,s Alternative Adult Daycare Health Services,llp	SC	Adult Day Care Clinic/Center	$0	$3.6M
Barron Fishburne	SC	Retina Specialist (Ophthalmology) Physician	$3.3M	$0
Jeffrey Gross	SC	Retina Specialist (Ophthalmology) Physician	$3M	$0
Medogun PA	SC	Pediatric Adolescent Medicine Physician	$0	$2.5M

Midlands Dental Group, P.l. — Billing Profile & Reimbursement Data

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Midlands Dental Group, P.l. — 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