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.

Vt Center For Dental Implants And Maxillofacial Surgery LLC (NPI 1063699767)

Field	Value
Entity Type	Organization
Organization	Vt Center For Dental Implants And Maxillofacial Surgery LLC
Address	792 College Pkwy Ste 307
City	Colchester
State	VT
ZIP	05446
Taxonomy	Oral and Maxillofacial Surgery Clinic/Center
NPI Enumerated	January 24, 2008

Payer Source	Total Paid
Medicaid	$2.6M
Medicare	$0

Key Findings

VT CENTER FOR DENTAL IMPLANTS AND MAXILLOFACIAL SURGERY LLC is effectively a Medicaid-focused practice: there is no Medicare billing on file and lifetime Medicaid revenue is $2.6M, indicating the provider’s commercial and fee-for-service Medicare exposure is either absent or not captured in the dataset. The provider’s NPI was enumerated 2008-01-24 (~18 years ago), reflecting long-standing operations that appear to be oriented toward state Medicaid patients.

Revenue concentration is high: the precomputed top three Medicaid codes account for 69.1% of this provider’s total Medicaid revenue, with the single largest code D7240 representing $981.3K (37.4%) of Medicaid revenue. This concentration indicates that a small set of procedure types drive the majority of the practice’s Medicaid receipts and should be the primary levers for any payer contracting or utilization review.

The code mix and available descriptions point to an oral/maxillofacial surgical focus: D7140 (Extraction, erupted tooth or exposed root) appears among the top codes with 3.9K claims and $362.3K revenue (13.8%), and D7210 (extraction requiring removal of bone) contributes $239K (9.1%). The high volumes for major extraction codes combined with the provider taxonomy (Oral and Maxillofacial Surgery Clinic/Center) indicate routine surgical tooth removals and related operative services form a core service line.

Two of the provider’s largest Medicaid revenue drivers lack descriptions in the dataset (D7240 and D9222) but are materially important: D7240 is $981.3K (37.4%) with 4K claims and ranks #1 of 9 providers in-state (100th percentile; notably above typical state volume), and D9222 is $472.2K (18.0%) with 3.1K claims and ranks #1 of 10 providers in-state (100th percentile; notably above typical state volume). The absence of descriptions in the feed limits precise clinical interpretation, but their dominant shares strongly suggest these codes represent specialized, high-volume procedures or services within the provider’s scope.

Evaluation and diagnostics are also a meaningful part of the mix: D0140 (Limited oral evaluation – problem focused) shows 5.8K claims for $233.8K (8.9% of Medicaid revenue) and ranks #3 of 68 providers in-state (97th percentile; notably above typical state volume). This elevated evaluation volume, alongside high surgical volumes, suggests the practice manages both intake/problem-focused assessments and operative treatment for Medicaid patients.

Competitive standing within Vermont is mixed by code: the provider is a clear statewide leader for D7240 and D9222 (each rank #1 and 100th percentile), while for D7140 it ranks #5 of 45 providers (91th percentile), indicating the practice is a major but not exclusive performer for routine extractions. For codes with smaller revenue contributions (e.g., D7230, D7250, D9230), the provider’s ranks vary from top in small cohorts to modest participation, showing specialization rather than uniform dominance across all oral surgery services.

The claim-level economics show typical Medicaid reimbursement patterns: high-claim lines such as D0140 (5.8K claims at $40 avg paid/claim) and D7140 (3.9K claims at $94 avg paid/claim) produce meaningful volume-driven revenue, whereas higher-paid-per-claim codes (e.g., D7240 at $247 avg paid/claim and D7230 at $255 avg paid/claim) contribute large revenue shares despite smaller claim counts. This mix suggests a business model that combines high-volume, lower-paid evaluations and extractions with fewer, higher-paid procedures that dominate total Medicaid revenue.

From a payer perspective, key areas for contract negotiation, utilization oversight, or network planning should center on the handful of codes driving revenue and the provider’s leadership positions: because the top three codes account for 69.1% of Medicaid revenue and the practice ranks in the 100th percentile for two of those codes, targeted reviews of service definitions, prior authorization needs, and capacity planning around these specific codes will yield the highest impact for managing spend and access.

Medicaid: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D7240	N/A	3,970	$250	$981.3K
D9222	N/A	3,090	$150	$472.2K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	3,850	$90	$362.3K
D9223	N/A	2,370	$120	$291.3K
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…	1,590	$150	$238.9K
D0140	Limited oral evaluation – problem focused	5,850	$40	$233.8K
D7230	N/A	110	$260	$29.1K
D7250	N/A	120	$120	$14.4K
D9230	N/A	40	$50	$2.1K
D0330	N/A	10	$50	$700

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

Vt Center For Dental Implants And Maxillofacial Surgery LLC — 5 of 10 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

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D7240	N/A	1	10	220	$250	$190.7K
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…	4	20	770	$140	$185K
D9222	N/A	1	10	880	$150	$158.1K
D9223	N/A	1	10	780	$130	$120.9K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	5	50	400	$80	$101.1K
D9230	N/A	17	20	500	$50	$59.7K
D0140	Limited oral evaluation – problem focused	3	70	560	$40	$53.3K
D7250	N/A	3	10	130	$120	$52.2K
D0330	N/A	61	70	330	$60	$43.8K
D7230	N/A	1	10	70	$230	$15.6K

Nearby Providers

Other providers in the same ZIP code as Vt Center For Dental Implants And Maxillofacial Surgery LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Planned Parenthood Of Northern New England, Inc	VT	Obstetrics & Gynecology Physician	$0	$3.9M
Kids Rehabgym Inc.	VT	Physical Therapy Clinic/Center	$0	$2.5M
Saint Michaels College Fire And Rescue Inc	VT	Land Ambulance	$281.9K	$1.5M
Dennis Sanders	VT	Medical Oncology Physician	$1.3M	$0
Robert Duwors	VT	Clinical Psychologist	$45K	$1.1M
Town Of Colchester	VT	Land Ambulance	$163.6K	$638.6K
Vermont Center For Responder Wellness LLC	VT	Clinical Social Worker	$0	$719.1K
Actd,llc	VT	Ambulatory Surgical Clinic/Center	$634.9K	$0
Counseling Connection Training Institute, Plc	VT	Mental Health Counselor	$0	$619.8K
Nicholas Hunter	VT	Clinical Psychologist	$0	$581.2K

Vt Center For Dental Implants And Maxillofacial Surgery LLC — Billing Profile & Reimbursement Data

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Vt Center For Dental Implants And Maxillofacial Surgery 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