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.

South Hill Pediatric Dentistry (NPI 1942518154)

Field	Value
Entity Type	Organization
Organization	South Hill Pediatric Dentistry
Address	2020 E 29th Avenue
City	Spokane
State	WA
ZIP	99203
Taxonomy	Pediatric Dentistry
NPI Enumerated	September 22, 2010

Payer Source	Total Paid
Medicaid	$4.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

22 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D9920	N/A	24,370	$30	$731.2K
D0120	Periodic oral evaluation - established patient	21,940	$30	$614.4K
D1120	Prophylaxis–child	23,210	$20	$557.1K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	23,110	$20	$485.3K
D2392	Post 2 surface resin‑based composite	5,850	$70	$420.8K
D9999	N/A	9,520	$30	$276K
D9230	N/A	7,610	$20	$167.5K
D0272	N/A	15,590	$10	$155.9K
D2930	N/A	1,020	$150	$153.6K
D0140	Limited oral evaluation – problem focused	4,630	$20	$101.8K

Showing 1–10 of 22

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

South Hill Pediatric Dentistry — 1 of 22 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

22 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	93	160	1,710	$140	$531.8K
D2392	Post 2 surface resin‑based composite	84	540	990	$60	$188.6K
D0120	Periodic oral evaluation - established patient	60	920	690	$20	$131.3K
D2391	Resin‑based composite – one surface, posterior	265	480	670	$50	$119.5K
D1120	Prophylaxis–child	49	730	690	$20	$112.8K
D1351	Sealant - per tooth	101	400	1,120	$20	$103.9K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	146	390	640	$50	$98.8K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	47	730	730	$20	$98.5K
D9630	N/A	93	90	400	$40	$88.5K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	396	660	620	$30	$76.1K

Showing 1–10 of 22

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Toillion Pediatric Dentistry	WA	Pediatric Dentistry	$0	$6.1M
Aaron M Williams Dds Ms PLLC	WA	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$5.2M
Milestones Speech And Lauguage Services	WA	Speech-Language Pathologist	$0	$2.8M
Richard Bale	WA	Family Medicine Physician	$123.1K	$0
Sarah Briscoe	WA	Family Medicine Physician	$59.3K	$0
Hirohiko Ito	—	Diagnostic Radiology Physician	$57.4K	$0
South Hill Ambulatory Surgical Center Ps	WA	Ambulatory Surgical Clinic/Center	$29.9K	$0
Benjamin Hubbard	WA	Family Medicine Physician	$24.9K	$0

South Hill Pediatric Dentistry — Billing Profile & Reimbursement Data

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South Hill 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

Nearby Providers

Frequently Asked Questions

References