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.

Derik Hoerner, Dds, PC (NPI 1043321334)

Field	Value
Entity Type	Organization
Organization	Derik Hoerner, Dds, PC
Address	1004 S. 7th Street
City	Bismarck
State	ND
ZIP	58504
Taxonomy	Dentist
NPI Enumerated	August 31, 2006

Payer Source	Total Paid
Medicaid	$1.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2392	Post 2 surface resin‑based composite	2,020	$120	$236.3K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	3,050	$50	$161.5K
D0330	N/A	1,740	$70	$114.6K
D0274	N/A	3,020	$40	$105.8K
D1208	Topical application of fluoride - excluding varnish	3,850	$20	$84.6K
D0120	Periodic oral evaluation - established patient	3,080	$30	$80.1K
D0150	Comprehensive oral evaluation – new or established patient	1,680	$40	$70.7K
D1120	Prophylaxis–child	1,670	$40	$65.2K
D2393	Resin-based composite, three surfaces, posterior	310	$170	$51.1K
D2391	Resin‑based composite – one surface, posterior	470	$90	$43.7K

Showing 1–10 of 17

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

Derik Hoerner, Dds, PC — 3 of 17 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

17 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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	100	$150	$280.3K
D2392	Post 2 surface resin‑based composite	5	40	130	$110	$83.4K
D2391	Resin‑based composite – one surface, posterior	7	30	100	$90	$63.3K
D1120	Prophylaxis–child	14	80	360	$40	$48.3K
D0120	Periodic oral evaluation - established patient	11	120	350	$40	$46.8K
D0140	Limited oral evaluation – problem focused	8	40	100	$70	$44K
D4910	Periodontal maintenance procedures	2	10	50	$60	$35K
D0150	Comprehensive oral evaluation – new or established patient	7	60	250	$50	$27K
D1208	Topical application of fluoride - excluding varnish	2	30	320	$20	$26.3K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	5	80	160	$40	$24.1K

Showing 1–10 of 17

Nearby Providers

Other providers in the same ZIP code as Derik Hoerner, Dds, PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pride Inc.	ND	Developmentally Disabled Services Day Training Agency	$0	$71.1M
Sanford Bismarck	ND	Multi-Specialty Clinic/Center	$0	$43.9M
Support Systems, Inc.	ND	Community/Behavioral Health Agency	$0	$37.7M
Bridging The Dental Gap Inc	ND	Dental Clinic/Center	$0	$6.8M
Pride Inc	ND	Community/Behavioral Health Agency	$0	$6.6M
Pride Inc.	ND	Community/Behavioral Health Agency	$0	$5.7M
Pride Inc	ND	Community/Behavioral Health Agency	$0	$4.9M
Dakota Surgery & Laser Center LLC	ND	Ambulatory Surgical Clinic/Center	$1.7M	$28.4K
The Kid's Therapy Center LLC	ND	Community/Behavioral Health Agency	$0	$1.5M
City Of Bismarck	ND	State or Local Public Health Clinic/Center	$111.3K	$1.3M

Derik Hoerner, Dds, PC — Billing Profile & Reimbursement Data

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Derik Hoerner, Dds, PC — 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