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

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

Stark And Johnson LLC (NPI 1013219633)

Field	Value
Entity Type	Organization
Organization	Stark And Johnson LLC
Address	3272 Salt Creek Cir
City	Lincoln
State	NE
ZIP	68504
Taxonomy	Pediatric Dentistry
NPI Enumerated	December 2, 2010

Payer Source	Total Paid
Medicaid	$12.9M
Medicare	$0

Key Findings

STARK AND JOHNSON LLC appears to be an almost exclusively Medicaid-serving pediatric dental practice: the profile shows no Medicare billing on file and $12.9M in lifetime Medicaid revenue, indicating the provider operates primarily within the Medicaid program rather than the Medicare market. This effectively makes the practice single-payer (Medicaid) in scope for the claims shown.

Revenue concentration is high in a few preventive and routine pediatric dentistry codes: the top three Medicaid codes (D1120, D1206, D0120) together account for 51.1% of total Medicaid revenue, signaling that prophylaxis, topical fluoride applications, and periodic oral evaluations are the primary revenue drivers. That concentration suggests a business model focused on high-volume preventive care for children.

The provider is a clear volume leader in multiple pediatric preventive codes statewide: STARK AND JOHNSON ranks #1 in Nebraska for D1120, D1206, and D0120 (each described as an extreme outlier, far above typical state volume), which indicates market dominance in routine child cleanings, fluoride therapy, and periodic evaluations among in-state peers. These top-rank positions point to a substantial share of statewide pediatric preventive visits.

In addition to the top three codes, the practice shows extreme or notable outlier status on a wide set of other pediatric and diagnostic codes (for example, D2392, D0272, D9230, D0145, D1999, D1110, D2391, D0330, and D0150 largely rank at the 97th–100th percentiles). This pattern indicates unusually high overall pediatric dental service volume across restorative, diagnostic, and preventive categories relative to other Nebraska providers.

While preventive services dominate revenue, the provider also reports meaningful restorative and minor surgical volume: D2392 (post 2-surface composite) contributes $1.2M (8.9% of Medicaid revenue) and D2930 contributes $940.6K (7.3%); D7140 (extraction) and various radiographic codes also appear in the top 25. These codes indicate the practice performs a substantial number of restorative procedures and extractions in addition to preventive visits, consistent with a full-scope pediatric dental clinic.

The provider’s tenure on file is long-standing: NPI enumerated on 2010-12-02 (~16 years ago), suggesting an established operation with sustained Medicaid participation over more than a decade. This longevity, combined with the extreme-volume rankings, supports the view of an entrenched Medicaid dental provider in Lincoln, NE.

Competitive standing is concentrated regionally rather than nationally: because there is no Medicare billing, all competitive comparisons are within Nebraska’s Medicaid market, where STARK AND JOHNSON frequently ranks at or near the top for many codes. The provider should be considered a dominant in-state player for pediatric preventive and many ancillary dental services, rather than a participant in national Medicare comparisons.

Several codes show typical or unremarkable percentile placements (for example D2930 is at the 89th percentile, D7140 at the 93rd, and D9420 at the 38th percentile), indicating that although the practice is extreme for many preventive and diagnostic pediatric codes, its mix contains some services provided at rates more similar to other state providers. This nuance suggests the practice’s exceptional volume is concentrated in select pediatric services rather than uniformly across every dental procedure code.

Medicaid: Complete Services Breakdown

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

30 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1120	Prophylaxis–child	80,720	$30	$2.5M
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	83,450	$30	$2.3M
D0120	Periodic oral evaluation - established patient	71,130	$30	$1.8M
D2392	Post 2 surface resin‑based composite	13,380	$90	$1.2M
D2930	N/A	7,130	$130	$940.6K
D1351	Sealant - per tooth	25,140	$30	$729.1K
D0272	N/A	43,760	$10	$612.7K
D9230	N/A	14,930	$30	$492.7K
D0145	N/A	10,860	$50	$488.7K
D1999	N/A	43,630	$10	$436.3K

Showing 1–10 of 30

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Nebraska Distribution

Stark And Johnson LLC — 16 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Nebraska

Full comparison — all codes billed, vs. Nebraska median

30 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	6	50	540	$120	$269K
D1351	Sealant - per tooth	3	130	460	$30	$84.7K
D2392	Post 2 surface resin‑based composite	1	140	270	$80	$66.8K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	1	320	460	$20	$62.2K
D1120	Prophylaxis–child	1	290	320	$30	$61K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	8	100	180	$60	$58.2K
D0120	Periodic oral evaluation - established patient	1	400	430	$20	$44.3K
D0145	N/A	1	50	80	$40	$36.5K
D9420	N/A	19	30	190	$80	$35.9K
D2391	Resin‑based composite – one surface, posterior	4	120	150	$60	$33.1K

Showing 1–10 of 30

Nearby Providers

Other providers in the same ZIP code as Stark And Johnson LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Frontier Home Medical, Inc	NE	Durable Medical Equipment & Medical Supplies	$0	$1.7M
Dialysis Center Of Lincoln Inc	NE	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.1M
Acs Medical LLC	NE	Durable Medical Equipment & Medical Supplies	$0	$646.5K
Adam Rawson	NE	Physical Rehabilitation Occupational Therapist	$513.9K	$0
Lincoln Gateway Chiropractic	NE	Chiropractor	$0	$406.1K
Diedre Shaw LLC	NE	Mental Health Counselor	$0	$361.9K
Zc Medical, LLC	NE	Durable Medical Equipment & Medical Supplies	$0	$240.4K
Lincoln Lymphedema And Occupational Therapy, LLC	NE	Physical Therapy Clinic/Center	$0	$236K
Marissa Heuer	NE	Psychiatric/Mental Health Nurse Practitioner	$18.9K	$186K
Emily Franssen	NE	Occupational Therapist	$6.4K	$0

Stark And Johnson LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References