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

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

Carlos Dorantes (NPI 1023102357)

Field	Value
Entity Type	Individual
Organization	Carlos Dorantes
Address	6201 Summitview Ave
City	Yakima
State	WA
ZIP	98908
Taxonomy	General Practice Dentistry
NPI Enumerated	October 3, 2006

Payer Source	Total Paid
Medicaid	$3.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

20 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2930	N/A	6,560	$150	$950.6K
D0120	Periodic oral evaluation - established patient	17,860	$30	$464.3K
D1120	Prophylaxis–child	16,160	$20	$371.7K
D1208	Topical application of fluoride - excluding varnish	19,160	$20	$344.9K
D2392	Post 2 surface resin‑based composite	4,210	$70	$282.1K
D2391	Resin‑based composite – one surface, posterior	3,080	$60	$169.6K
D0272	N/A	14,400	$10	$144K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	3,530	$40	$130.5K
D9999	N/A	4,060	$30	$126K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	2,220	$50	$117.9K

Showing 1–10 of 20

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Washington Distribution

Carlos Dorantes — 1 of 20 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. Washington median

20 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	36	160	1,710	$140	$531.8K
D2392	Post 2 surface resin‑based composite	116	540	990	$60	$188.6K
D0120	Periodic oral evaluation - established patient	73	920	690	$20	$131.3K
D2390	N/A	24	40	220	$220	$126.9K
D2391	Resin‑based composite – one surface, posterior	115	480	670	$50	$119.5K
D1120	Prophylaxis–child	69	730	690	$20	$112.8K
D1351	Sealant - per tooth	107	400	1,120	$20	$103.9K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	99	390	640	$50	$98.8K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	113	660	620	$30	$76.1K
D9999	N/A	64	290	690	$30	$75.9K

Showing 1–10 of 20

Nearby Providers

Other providers in the same ZIP code as Carlos Dorantes, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Avail Home Health, Inc.	WA	Home Health Registered Nurse	$0	$34.7M
Derek Thompson Dmd Patrick Ferguson Dds, PLLC	WA	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$20.9M
Se Wa Office Of Aging & Long Term Care	WA	Case Management Agency	$0	$6.7M
Derek Thompson Dmd Patrick Ferguson Dds, PLLC	WA	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$4.3M
Lawrence Cacchiotti	WA	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$4.2M
Neal H. Smith Dmd PLLC	WA	Pediatric Dentistry	$0	$2.8M
David Krueger	WA	Cardiovascular Disease Physician	$493.1K	$0
Robert Ortiz	WA	Cardiovascular Disease Physician	$216.3K	$0
Gabriel Lascar	WA	Internal Medicine Physician	$98.7K	$0
Kyle Prescott	WA	Physical Therapist	$84.4K	$0

Carlos Dorantes — Billing Profile & Reimbursement Data

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Carlos Dorantes — 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