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

Why is the Medicaid comparison limited to North 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. North 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.

Prairie Rose Family Dentists (NPI 1023551272)

Field	Value
Entity Type	Organization
Organization	Prairie Rose Family Dentists
Address	2500 Overlook Ln Nw
City	Mandan
State	ND
ZIP	58554
Taxonomy	Dentist
NPI Enumerated	November 21, 2016

Payer Source	Total Paid
Medicaid	$1.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1120	Prophylaxis–child	7,920	$30	$269.3K
D2930	N/A	1,760	$140	$241.5K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	7,300	$20	$168K
D0120	Periodic oral evaluation - established patient	5,580	$30	$145.1K
D2392	Post 2 surface resin‑based composite	1,400	$100	$139K
D2391	Resin‑based composite – one surface, posterior	1,630	$80	$133.5K
D0272	N/A	3,880	$30	$97K
D0150	Comprehensive oral evaluation – new or established patient	2,240	$40	$89.6K
D1351	Sealant - per tooth	3,180	$30	$85.9K
D9230	N/A	2,840	$30	$79.6K

Showing 1–10 of 18

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. North Dakota Distribution

Prairie Rose Family Dentists — 4 of 18 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Dakota

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

18 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	3	10	1,170	$150	$264.2K
D2392	Post 2 surface resin‑based composite	6	40	130	$110	$83.4K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	7	20	300	$90	$76.2K
D2391	Resin‑based composite – one surface, posterior	3	30	100	$90	$63.3K
D1120	Prophylaxis–child	3	80	360	$40	$48.3K
D0120	Periodic oral evaluation - established patient	6	120	350	$40	$46.8K
D1351	Sealant - per tooth	6	30	470	$20	$46.6K
D0140	Limited oral evaluation – problem focused	21	40	100	$70	$44K
D9230	N/A	3	20	280	$30	$29.9K
D0150	Comprehensive oral evaluation – new or established patient	4	60	250	$50	$27K

Showing 1–10 of 18

Related Providers

Other providers that share a Tax Identification Number (TIN) with Prairie Rose Family Dentists, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Prairie Rose Family Dentists	ND	Dentist	$0	$125.1K
Prairie Rose Family Dentists	ND	Dentist	$0	$109.3K

Nearby Providers

Other providers in the same ZIP code as Prairie Rose Family Dentists, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Easter Seals Goodwill Nd, Inc.	ND	Community/Behavioral Health Agency	$0	$70.5M
Hit Inc.	ND	Community/Behavioral Health Agency	$0	$55.1M
Hit Inc.	ND	Community/Behavioral Health Agency	$0	$27.7M
Kids In Motion Inc	ND	Physical Therapy Clinic/Center	$0	$1.5M
Easter Seals Goodwill Nd, Inc.	ND	In Home Supportive Care Agency	$0	$1M
Western Plains Public Health	ND	Public Health or Welfare Agency	$68.7K	$174.6K
Carter Chiropractic P C	ND	Chiropractor	$0	$187.2K
Mcbw Chiropractic PC	ND	Chiropractor	$0	$160.7K
Laura Archuleta	ND	Family Medicine Physician	$133.3K	$0
Transitions Healthcare PLLC	ND	Clinic/Center	$0	$95.2K

Prairie Rose Family Dentists — Billing Profile & Reimbursement Data

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Prairie Rose Family Dentists — 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