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

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

Abc Pediatric Dentistry, PC (NPI 1992119390)

Field	Value
Entity Type	Organization
Organization	Abc Pediatric Dentistry, PC
Address	65 N Gateway Dr Ste 1
City	Providence
State	UT
ZIP	84332
Taxonomy	Pediatric Dentistry
NPI Enumerated	June 13, 2014

Payer Source	Total Paid
Medicaid	$2.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

23 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D0120	Periodic oral evaluation - established patient	10,870	$100	$1.1M
D1120	Prophylaxis–child	16,270	$30	$439.3K
D0272	N/A	7,090	$30	$233.9K
D1351	Sealant - per tooth	8,830	$20	$176.6K
D0220	Intraoral - periapical first radiographic image	8,320	$20	$166.4K
D0150	Comprehensive oral evaluation – new or established patient	1,090	$120	$125.3K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	17,140	$10	$120K
D9230	N/A	930	$100	$95.8K
D0230	Intraoral - periapical each additional radiographic image	9,560	$10	$66.9K
D2150	Amalgam - two surfaces, primary or permanent	2,520	$20	$55.5K

Showing 1–10 of 23

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Utah Distribution

Abc Pediatric Dentistry, PC — 8 of 23 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Utah

Full comparison — all codes billed, vs. Utah median

23 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D0120	Periodic oral evaluation - established patient	9	470	460	$80	$149.8K
D1351	Sealant - per tooth	11	190	620	$30	$60.7K
D2930	N/A	57	70	280	$70	$57.7K
D0140	Limited oral evaluation – problem focused	98	260	140	$120	$55.8K
D2150	Amalgam - two surfaces, primary or permanent	19	220	290	$60	$45K
D2392	Post 2 surface resin‑based composite	89	170	170	$80	$39.4K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	38	150	170	$60	$35.9K
D4355	N/A	7	10	80	$130	$34.5K
D0220	Intraoral - periapical first radiographic image	11	440	470	$20	$32.8K
D0150	Comprehensive oral evaluation – new or established patient	30	420	110	$100	$30.8K

Showing 1–10 of 23

Related Providers

Other providers that share a Tax Identification Number (TIN) with Abc Pediatric Dentistry, PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kurt Vest	UT	Pediatric Dentistry	$0	$1.4M
Brandon Nakken	UT	Pediatric Dentistry	$0	$949.9K
Stanton Allen	UT	Pediatric Dentistry	$0	$442.6K
Brandi Oberg	UT	Dentist	$0	$354.7K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Spring Creek Surgical Center, LLC	UT	Ambulatory Surgical Clinic/Center	$14.4K	$1.7M
Sleepy Smiles LLC	UT	Certified Registered Nurse Anesthetist	$0	$1.2M
Clear Recovery Of Cache Valley	UT	Community/Behavioral Health Agency	$0	$672.8K
Interwest Anesthesia Associates LLC	UT	Anesthesiology Physician	$0	$565.6K
Mountainstar Medical Group- Cache Valley, LLC	UT	Family Medicine Physician	$0	$330.6K
Cory Maughan	UT	MOHS-Micrographic Surgery Physician	$303.1K	$0
Daniel Huff	UT	Foot & Ankle Surgery Podiatrist	$178.9K	$0
James Willmore	UT	Foot & Ankle Surgery Podiatrist	$144.1K	$0
Ben Boyer	UT	Family Nurse Practitioner	$60K	$0
Kade Ward	UT	Physical Therapist	$54.7K	$0

Abc Pediatric Dentistry, PC — Billing Profile & Reimbursement Data

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Abc Pediatric Dentistry, PC — 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