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.

Shelby Pediatric Dentistry, PC (NPI 1962813188)

Field	Value
Entity Type	Organization
Organization	Shelby Pediatric Dentistry, PC
Address	2490 Pelham Parkway
City	Pelham
State	AL
ZIP	35124
Taxonomy	Pediatric Dentistry
NPI Enumerated	May 9, 2014

Payer Source	Total Paid
Medicaid	$4.3M
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	28,850	$30	$779.1K
D2392	Post 2 surface resin‑based composite	10,050	$80	$763.9K
D0120	Periodic oral evaluation - established patient	31,280	$20	$594.2K
D1208	Topical application of fluoride - excluding varnish	30,160	$10	$422.2K
D0272	N/A	19,130	$20	$325.3K
D2391	Resin‑based composite – one surface, posterior	4,840	$60	$295K
D9230	N/A	9,990	$20	$179.9K
D0330	N/A	3,270	$50	$153.5K
D1999	N/A	8,780	$20	$140.5K
D1351	Sealant - per tooth	5,540	$20	$121.8K

Showing 1–10 of 23

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

Shelby Pediatric Dentistry, PC — 5 of 22 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

23 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	59	120	1,240	$90	$233.9K
D2392	Post 2 surface resin‑based composite	12	280	520	$70	$144.9K
D9420	N/A	21	20	230	$170	$110.9K
D1120	Prophylaxis–child	17	520	810	$30	$104.3K
D2391	Resin‑based composite – one surface, posterior	23	250	380	$60	$91.8K
D1999	N/A	51	300	1,280	$20	$81.5K
D0120	Periodic oral evaluation - established patient	24	620	810	$20	$77.2K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	42	190	490	$50	$76.2K
D1351	Sealant - per tooth	28	180	710	$20	$63.3K
D0330	N/A	53	390	410	$40	$61.2K

Showing 1–10 of 23

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Golden Point Solutions LLC	AL	Clinical Medical Laboratory	$146.9K	$16.4M
Easter Seals Of The Birmingham Area	AL	Speech-Language Pathologist	$0	$1.7M
Comfort Care Hospice, LLC	AL	Community Based Hospice Care Agency	$0	$1.5M
Criterion Chemistries, LLC	AL	Clinical Medical Laboratory	$968.8K	$513.8K
Shelby County Health Dept-pelham Fp Clinic	AL	Public Health or Welfare Agency	$0	$1.2M
National Seating & Mobility, Inc.	AL	Durable Medical Equipment & Medical Supplies	$0	$1.1M
Motion Medical Inc	AL	Prosthetic/Orthotic Supplier	$0	$1.1M
Lloyd Johnson	AL	Orthopaedic Surgery Physician	$173.7K	$0
Robert Snyder	AL	Family Medicine Physician	$170.1K	$0
Stacie Martin	AL	Speech-Language Pathologist	$92.7K	$0

Shelby Pediatric Dentistry, PC — Billing Profile & Reimbursement Data

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Shelby Pediatric Dentistry, PC — Billing Profile & Reimbursement Data

Sign up for Shelby Pediatric Dentistry, PC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References