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

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

New England Family Dental PC (NPI 1043629348)

Field	Value
Entity Type	Organization
Organization	New England Family Dental PC
Address	297 Union Ave
City	Framingham
State	MA
ZIP	01702
Taxonomy	Point of Service
NPI Enumerated	August 12, 2014

Payer Source	Total Paid
Medicaid	$14.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

44 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D7240	N/A	6,370	$300	$1.9M
D1120	Prophylaxis–child	32,330	$50	$1.6M
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	23,360	$60	$1.4M
D0120	Periodic oral evaluation - established patient	48,930	$30	$1.3M
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	44,510	$30	$1.1M
D1351	Sealant - per tooth	28,240	$40	$1.1M
D2392	Post 2 surface resin‑based composite	8,760	$100	$832.3K
D8670	N/A	2,660	$240	$627.1K
D0274	N/A	14,010	$40	$546.4K
D2391	Resin‑based composite – one surface, posterior	6,820	$80	$538.6K

Showing 1–10 of 44

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Massachusetts Distribution

New England Family Dental PC — 14 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Massachusetts

Full comparison — all codes billed, vs. Massachusetts median

44 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D8670	N/A	81	260	1,530	$230	$664.9K
D7240	N/A	3	70	460	$320	$432.9K
D8080	N/A	41	90	170	$1,100	$416K
D2740	N/A	202	410	280	$660	$338.1K
D2930	N/A	50	90	830	$180	$325.7K
D3330	N/A	65	130	80	$650	$180.9K
D7230	N/A	20	60	170	$240	$151K
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…	44	370	300	$130	$138.7K
D1120	Prophylaxis–child	9	1,050	470	$50	$119.2K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	16	1,480	900	$50	$118.2K

Showing 1–10 of 44

Nearby Providers

Other providers in the same ZIP code as New England Family Dental PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Commonwealth Of Massachusetts	MA	Case Management Agency	$0	$350.2M
Vhs Acquisition Subsidiary Number 9 Inc	MA	General Acute Care Hospital	$0	$58.9M
South Middlesex Opportunity Council Inc	MA	Community/Behavioral Health Agency	$0	$37.4M
Justice Resource Institute, Inc.	MA	Developmentally Disabled Services Day Training Agency	$0	$14.2M
Advanced Home Care Services LLC	MA	Home Health Agency	$0	$12.4M
New Horizons Medical, Inc.	MA	Addiction (Substance Use Disorder) Counselor	$0	$11.7M
Robert Johnston	MA	Psychiatry Physician	$10.9K	$11M
Hdc Care Solutions, LLC	MA	Nurse Practitioner	$0	$8M
Alec H. Jaret, Dmd, PC	MA	Dentist	$0	$7.3M
New England Aftercare Ministries, Inc.	MA	Substance Abuse Rehabilitation Facility	$0	$6.4M

New England Family Dental PC — Billing Profile & Reimbursement Data

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New England Family Dental 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