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

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

Vermont Dental Care (NPI 1033247705)

Field	Value
Entity Type	Organization
Organization	Vermont Dental Care
Address	32 B Malletts Bay Avenue
City	Winooski
State	VT
ZIP	05404
Taxonomy	General Practice Dentistry
NPI Enumerated	March 2, 2007

Payer Source	Total Paid
Medicaid	$1.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

23 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	5,570	$50	$250.8K
D0120	Periodic oral evaluation - established patient	9,250	$20	$222.1K
D1120	Prophylaxis–child	5,350	$30	$176.6K
D2392	Post 2 surface resin‑based composite	1,400	$120	$165.2K
D4346	N/A	2,240	$70	$161.5K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	8,520	$20	$153.3K
D2391	Resin‑based composite – one surface, posterior	1,800	$80	$149.1K
D1351	Sealant - per tooth	5,800	$30	$145K
D0274	N/A	3,700	$30	$107.4K
D1208	Topical application of fluoride - excluding varnish	4,070	$20	$73.3K

Showing 1–10 of 23

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Vermont Distribution

Vermont Dental Care — 1 of 21 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Vermont

Full comparison — all codes billed, vs. Vermont median

23 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2392	Post 2 surface resin‑based composite	16	60	610	$130	$155.6K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	9	150	540	$50	$73.5K
D1351	Sealant - per tooth	8	40	480	$20	$63.9K
D2391	Resin‑based composite – one surface, posterior	6	50	310	$90	$62.9K
D1120	Prophylaxis–child	10	110	220	$40	$59.2K
D0120	Periodic oral evaluation - established patient	10	160	720	$30	$57.8K
D4346	N/A	3	20	260	$70	$54.6K
T1013	Sign language or oral interpretive services, per 15 minutes	11	10	300	$30	$54.3K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	13	120	500	$20	$53.5K
D0140	Limited oral evaluation – problem focused	25	70	560	$40	$53.3K

Showing 1–10 of 23

Nearby Providers

Other providers in the same ZIP code as Vermont Dental Care, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Angelique Schultz	VT	Addiction (Substance Use Disorder) Psychologist	$0	$774.7K
David Gauthier	VT	Mental Health Counselor	$0	$704.1K
Matthew Bijur	VT	Addiction (Substance Use Disorder) Counselor	$0	$207.5K
Timberlane Physical Therapy Inc	VT	Physical Therapist	$0	$172.3K
Cheyenne Fowler	VT	Nurse Practitioner	$57K	$0
Jennifer Simpson	VT	Physical Therapist	$35.2K	$0
Christine Staats	VT	Family Medicine Physician	$32.3K	$0
Ibrahim Abubakar	VT	Student in an Organized Health Care Education/Training Program	$22.8K	$0
Kelly Rybicki	VT	Chiropractor	$21.9K	$0
Jonathan Fenton	VT	Interventional Pain Medicine Physician	$15.5K	$0

Vermont Dental Care — Billing Profile & Reimbursement Data

Sign up for Vermont Dental Care — Billing Profile & Reimbursement Data policy alerts

Vermont Dental Care — Billing Profile & Reimbursement Data

Sign up for Vermont Dental Care — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References