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.

Creston Dental-1, P.C. (NPI 1972687903)

Field	Value
Entity Type	Organization
Organization	Creston Dental-1, P.C.
Address	3112 N Main St
City	Anderson
State	SC
ZIP	29621
Taxonomy	General Practice Dentistry
NPI Enumerated	October 25, 2006

Payer Source	Total Paid
Medicaid	$14.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

37 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2392	Post 2 surface resin‑based composite	15,770	$100	$1.6M
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	29,060	$50	$1.5M
D1120	Prophylaxis–child	33,870	$40	$1.2M
D2391	Resin‑based composite – one surface, posterior	12,670	$90	$1.1M
D0120	Periodic oral evaluation - established patient	39,780	$20	$954.7K
D0150	Comprehensive oral evaluation – new or established patient	21,880	$40	$897.1K
D0274	N/A	26,850	$30	$751.8K
D1351	Sealant - per tooth	23,080	$30	$692.4K
D2930	N/A	4,360	$130	$567.2K
D0330	N/A	15,560	$40	$560.3K

Showing 1–10 of 37

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

Creston Dental-1, P.C. — 17 of 25 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

37 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D8080	N/A	3	10	10	$1,570	$824.8K
D2930	N/A	22	130	1,060	$150	$371.1K
D7240	N/A	18	60	450	$260	$370K
D2392	Post 2 surface resin‑based composite	4	350	520	$100	$175.3K
D1120	Prophylaxis–child	10	470	600	$30	$156.7K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…	26	120	170	$130	$125.1K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	21	290	380	$90	$125K
D3330	N/A	3	20	30	$550	$117.9K
D9230	N/A	11	210	1,150	$30	$115.5K
D2391	Resin‑based composite – one surface, posterior	4	300	270	$80	$110.5K

Showing 1–10 of 37

Related Providers

Other providers that share a Tax Identification Number (TIN) with Creston Dental-1, P.C., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kool Smiles Sc-2, PC	SC	General Practice Dentistry	$0	$28.5M
Kool Smiles, PC	SC	General Practice Dentistry	$0	$4.3M
Kool Smiles Sc-2, PC	SC	General Practice Dentistry	$0	$4.2M
Kool Smiles, PC	SC	General Practice Dentistry	$0	$4.2M
Kool Smiles Sc-2, PC	SC	General Practice Dentistry	$0	$3M
Kool Smiles Sc-2, PC	SC	General Practice Dentistry	$0	$2.6M
Kool Smiles Sc-2, PC	SC	General Practice Dentistry	$0	$2M
David Ashley	AL	Oral and Maxillofacial Surgery (Dentist)	$0	$1.3M

Nearby Providers

Other providers in the same ZIP code as Creston Dental-1, P.C., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Anmed Health	SC	General Acute Care Hospital	$0	$75.9M
Palmetto Seating And Mobility, Inc.	SC	Durable Medical Equipment & Medical Supplies	$0	$44.7M
South Carolina Dept Of Mental Health Accounting Office	SC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$40.9M
Southern Home Care Services, Inc.	SC	In Home Supportive Care Agency	$0	$14.1M
Medshore Ambulance Service, LLC	SC	Ambulance	$6.4M	$7M
Bryant Pharmacy & Supply	SC	Durable Medical Equipment & Medical Supplies	$0	$11.4M
Labtech Diagnostic, LLC	SC	Clinical Medical Laboratory	$0	$10.7M
Anmed Health	SC	Pediatrics Physician	$0	$10.3M
Upstate Medical Staffing, Inc.	SC	In Home Supportive Care Agency	$0	$9.3M
Piedmont Childrens Clinic	SC	Pediatrics Physician	$0	$6.1M

Creston Dental-1, P.C. — Billing Profile & Reimbursement Data

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Creston Dental-1, P.C. — 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