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

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

Pediatric Dental Associates Of Birmingham, LLC (NPI 1952774945)

Field	Value
Entity Type	Organization
Organization	Pediatric Dental Associates Of Birmingham, LLC
Address	1613 11th Ave S
City	Birmingham
State	AL
ZIP	35205
Taxonomy	Pediatric Dentistry
NPI Enumerated	November 12, 2015

Payer Source	Total Paid
Medicaid	$6.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

24 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1120	Prophylaxis–child	31,290	$30	$876.2K
D0120	Periodic oral evaluation - established patient	35,850	$20	$681.1K
D1208	Topical application of fluoride - excluding varnish	41,870	$20	$628.1K
D1999	N/A	28,680	$20	$544.9K
D2930	N/A	4,850	$110	$533.3K
D2392	Post 2 surface resin‑based composite	4,530	$80	$358.2K
D0330	N/A	8,090	$40	$339.9K
D0272	N/A	19,320	$20	$328.4K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	8,330	$40	$308.2K
D1351	Sealant - per tooth	12,530	$20	$288.1K

Showing 1–10 of 24

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Alabama Distribution

Pediatric Dental Associates Of Birmingham, LLC — 10 of 24 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. Alabama median

24 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	19	120	1,240	$90	$233.9K
D2392	Post 2 surface resin‑based composite	35	280	520	$70	$144.9K
D1120	Prophylaxis–child	10	520	810	$30	$104.3K
D2391	Resin‑based composite – one surface, posterior	45	250	380	$60	$91.8K
D1999	N/A	8	300	1,280	$20	$81.5K
D2393	Resin-based composite, three surfaces, posterior	69	90	170	$90	$78K
D0120	Periodic oral evaluation - established patient	14	620	810	$20	$77.2K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	29	190	490	$50	$76.2K
D0240	N/A	13	70	1,300	$20	$65.2K
D1351	Sealant - per tooth	9	180	710	$20	$63.3K

Showing 1–10 of 24

Nearby Providers

Other providers in the same ZIP code as Pediatric Dental Associates Of Birmingham, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Paragon Contracting Services LLC	AL	Emergency Medicine Physician	$0	$54.5M
Oral & Facial Surgery Of Al, PC	AL	Specialist	$0	$6.4M
University Of Alabama At Birmingham	AL	Developmental Disabilities Clinic/Center	$0	$4.8M
Magnolia Pediatrics South Inc	AL	Pediatric Adolescent Medicine Physician	$0	$2.9M
Birmingham Pediatric Assoc	AL	Pediatrics Physician	$0	$2.5M
Alabama Ophthalmology Associates, P.C.	AL	Ophthalmology Physician	$0	$2.1M
St. Vincent's P.e.t. Center, LLC	AL	Diagnostic Radiology Physician	$1.6M	$0
St. Vincent's Birmingham	AL	General Acute Care Hospital	$0	$1.3M
Cara Bondly	AL	Hematology & Oncology Physician	$986.3K	$0
Redmont Pediatric Associates, P.C.	AL	Specialist	$0	$946.2K

Pediatric Dental Associates Of Birmingham, LLC — Billing Profile & Reimbursement Data

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Pediatric Dental Associates Of Birmingham, LLC — 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