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

Why is the Medicaid comparison limited to South Dakota 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 Dakota (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.

Chris Dickes Dentistry Prof LLC (NPI 1023417417)

Field	Value
Entity Type	Organization
Organization	Chris Dickes Dentistry Prof LLC
Address	2804 E. 26th Street
City	Sioux Falls
State	SD
ZIP	57103
Taxonomy	General Practice Dentistry
NPI Enumerated	August 21, 2014

Payer Source	Total Paid
Medicaid	$4.3M
Medicare	$0

Key Findings

This practice is effectively single-payer on file: there is no Medicare billing on file while lifetime Medicaid revenue totals $4.3M, indicating the provider’s patient base and revenue scale are driven almost entirely by Medicaid enrollees. The NPI was enumerated 2014-08-21 (~12 years ago), so this is an established local practice with roughly a decade of billing history to support operations and network relationships within the state Medicaid program.

Revenue is concentrated in a small set of restorative and preventive dental codes: the top three Medicaid codes by revenue are D2392, D1351, and D2391, and the precomputed top-3 share is 37.1% of this provider’s total Medicaid revenue. Those specific codes (posterior resin-based composites and sealants) show the business is driven by high-volume restorative work alongside preventive care, rather than specialty endodontics or prosthodontics.

D1351 (Sealant - per tooth) is a very large volume driver with 15.2K claims and $531.3K revenue (12.7% of Medicaid revenue), and D1120 (Prophylaxis–child) and D1206 (Topical Fluoride) also appear with multi-thousand claim counts; together these patterns point to substantial pediatric and preventive throughput. The combination of high sealant and child prophylaxis volume suggests the practice sees many younger Medicaid patients and likely operates significant chair time dedicated to prevention and routine restorative care.

Several codes rank at the high end statewide, indicating competitive strength for specific services: D2392 ranks #4 of 59 providers in-state (95th percentile; notably above typical state volume) and D2393 ranks #1 of 10 providers in-state (100th percentile; notably above typical state volume). High percentiles for D0210 (3.1K claims, $320K; #3 of 41, 95th percentile) and D1110 (4K claims, $234.8K; #5 of 144, 97th percentile) further support that this provider is a dominant participant statewide for a mix of diagnostic imaging and routine cleanings.

The practice’s code mix shows capacity across routine to moderately complex general dentistry: in addition to high-volume composites and sealants, there are sizable counts for D7140 extraction (1.7K claims, $175.6K, 4.2% of revenue) and single-quadrant periodontal work such as D4341 (226 claims, $41.8K, 1.0% of revenue) where D4341 ranks #1 of 2 providers in-state (100th percentile). This breadth suggests a general practice model that manages both preventive/maintenance and some surgical or periodontal procedures within the same site.

Imaging utilization is substantial and aligned with restorative throughput: D0210 (Intraoral complete series) accounts for 3.1K claims and $320K (7.7% of Medicaid revenue) and D0220/D0230 together add several thousand periapical claims, demonstrating a diagnostic workflow that supports the restorative and sealant volumes. These imaging volumes rank highly in-state (D0210 #3 of 41, 95th percentile), reinforcing that diagnostic services are a consistent revenue and operational component.

While the practice shows strength on a handful of high-volume codes, that concentration creates exposure to reimbursement or policy changes affecting those codes: top drivers like D2392 (5.6K claims, $650.9K) and D1351 (15.2K claims, $531.3K) represent a material share of Medicaid revenue, so shifts in coverage, fee schedule rates, or utilization oversight for composites and sealants could disproportionally impact overall revenue. Monitoring payor policy and state-level program changes for restorative and preventive dental codes would be important for payers and partners evaluating contract or network decisions.

Several codes are statistical outliers in-state by the provided labels: D2393 and D2332 each rank at the 100th percentile for their peer sets (D2393 #1 of 10; D2332 #1 of 4), and multiple high-volume codes are described as "notably above typical state volume" (for example D2392, D0210, D1110). These percentile-based signals indicate the provider is not just busy but in some cases the top performer statewide for specific restorative categories, which is relevant when benchmarking capacity or negotiating regional network participation.

Medicaid: Complete Services Breakdown

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

35 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2392	Post 2 surface resin‑based composite	5,560	$120	$650.9K
D1351	Sealant - per tooth	15,180	$40	$531.3K
D2391	Resin‑based composite – one surface, posterior	3,940	$90	$370.5K
D0210	Intraoral - complete series of radiographic images	3,080	$100	$320K
D2393	Resin-based composite, three surfaces, posterior	2,140	$140	$308.2K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	4,050	$60	$234.8K
D0150	Comprehensive oral evaluation – new or established patient	4,350	$50	$208.6K
D1120	Prophylaxis–child	4,810	$40	$202.1K
D0120	Periodic oral evaluation - established patient	6,040	$30	$199.2K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	7,430	$30	$193.2K

Showing 1–10 of 35

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. South Dakota Distribution

Chris Dickes Dentistry Prof LLC — 11 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Dakota

Full comparison — all codes billed, vs. South Dakota median

35 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	6	10	230	$180	$1.3M
D9420	N/A	5	10	640	$160	$317.3K
D3220	N/A	5	10	720	$100	$297.4K
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…	9	10	190	$160	$230.6K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	11	40	260	$90	$151.5K
D1351	Sealant - per tooth	4	50	400	$30	$117.3K
D2391	Resin‑based composite – one surface, posterior	3	40	150	$80	$115.5K
D2330	Resin-based composite - one surface, anterior	5	10	500	$90	$101.9K
D2392	Post 2 surface resin‑based composite	4	60	100	$100	$89.5K
D0140	Limited oral evaluation – problem focused	7	60	120	$140	$84.7K

Showing 1–10 of 35

Nearby Providers

Other providers in the same ZIP code as Chris Dickes Dentistry Prof LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Recover Health Of Iowa, Inc.	SD	Home Health Agency	$0	$4M
Alpha Sigma Health Group, Inc.	SD	Home Health Agency	$0	$4M
Loyal In-home Care LLC	SD	In Home Supportive Care Agency	$0	$2.9M
Holden Health Group Inc.	SD	Secured Medical Transport (VAN)	$0	$1.5M
Gift Home Health Care LLC	SD	In Home Supportive Care Agency	$0	$1.3M
River Ridge Oral & Maxillofacial Surgical Center	SD	Oral and Maxillofacial Surgery (Dentist)	$0	$755.3K
Edgewood Greenleaf Sioux Falls LLC	SD	Assisted Living Facility	$0	$700K
Revitalized Wellness PLLC	SD	Primary Care Clinic/Center	$0	$648.3K
Diversified Enterprises, Inc.	SD	Home Health Agency	$0	$301.9K
Freed Dental Prof. L.L.C.	SD	Dental Clinic/Center	$0	$250.1K

Chris Dickes Dentistry Prof LLC — Billing Profile & Reimbursement Data

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Chris Dickes Dentistry Prof 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