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.

Lower Elwha Klallam Tribe Dental Clinic (NPI 1023134988)

Field	Value
Entity Type	Organization
Organization	Lower Elwha Klallam Tribe Dental Clinic
Address	243511 W Highway 101
City	Port Angeles
State	WA
ZIP	98363
Taxonomy	Dental Clinic/Center
NPI Enumerated	March 22, 2007

Payer Source	Total Paid
Medicaid	$4.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

21 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	11,290	$410	$4.6M
D0120	Periodic oral evaluation - established patient	1,840	$30	$46K
D0140	Limited oral evaluation – problem focused	1,940	$20	$40.7K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	2,420	$20	$36.3K
D1351	Sealant - per tooth	2,830	$10	$28.3K
D1120	Prophylaxis–child	950	$20	$17.1K
D2392	Post 2 surface resin‑based composite	300	$50	$15.2K
D0330	N/A	400	$30	$12.3K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	370	$30	$10.6K
D0150	Comprehensive oral evaluation – new or established patient	330	$30	$9K

Showing 1–10 of 21

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

Lower Elwha Klallam Tribe Dental Clinic — 0 of 18 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

21 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	226	650	4,110	$250	$4.9M
D2392	Post 2 surface resin‑based composite	362	540	990	$60	$188.6K
D0120	Periodic oral evaluation - established patient	330	920	690	$20	$131.3K
D2391	Resin‑based composite – one surface, posterior	332	480	670	$50	$119.5K
D1120	Prophylaxis–child	328	730	690	$20	$112.8K
D1351	Sealant - per tooth	144	400	1,120	$20	$103.9K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	246	730	730	$20	$98.5K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	369	660	620	$30	$76.1K
D0150	Comprehensive oral evaluation – new or established patient	423	710	600	$30	$65.7K
D0330	N/A	292	530	590	$30	$58.4K

Showing 1–10 of 21

Related Providers

Other providers that share a Tax Identification Number (TIN) with Lower Elwha Klallam Tribe Dental Clinic, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lower Elwha Klallam Tribe	WA	Substance Use Disorder Rehabilitation Clinic/Center	$0	$10.7M
Lower Elwha Klallam Tribe	WA	Primary Care Clinic/Center	$0	$10M

Nearby Providers

Other providers in the same ZIP code as Lower Elwha Klallam Tribe Dental Clinic, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lower Elwha Klallam Tribe	WA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$5.5M
Matthew Rand	WA	Physician Assistant	$260.3K	$0

Lower Elwha Klallam Tribe Dental Clinic — Billing Profile & Reimbursement Data

Sign up for Lower Elwha Klallam Tribe Dental Clinic — Billing Profile & Reimbursement Data policy alerts

Lower Elwha Klallam Tribe Dental Clinic — Billing Profile & Reimbursement Data

Sign up for Lower Elwha Klallam Tribe Dental Clinic — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References