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

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

Bonney Lake Dental LLC (NPI 1073088423)

Field	Value
Entity Type	Organization
Organization	Bonney Lake Dental LLC
Address	19410 State Route 410 E
City	Bonney Lake
State	WA
ZIP	98391
Taxonomy	Dental Clinic/Center
NPI Enumerated	October 11, 2018

Payer Source	Total Paid
Medicaid	$4.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

25 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2392	Post 2 surface resin‑based composite	13,270	$70	$889.2K
D2393	Resin-based composite, three surfaces, posterior	6,150	$90	$571.6K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	10,330	$50	$506.2K
D0150	Comprehensive oral evaluation – new or established patient	11,470	$40	$401.5K
D0210	Intraoral - complete series of radiographic images	8,710	$40	$348.5K
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…	3,470	$90	$298.8K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	6,780	$40	$298.3K
D2391	Resin‑based composite – one surface, posterior	5,210	$50	$275.9K
D1208	Topical application of fluoride - excluding varnish	9,930	$20	$188.6K
D2332	N/A	1,770	$90	$158.9K

Showing 1–10 of 25

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Washington Distribution

Bonney Lake Dental LLC — 6 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. Washington median

25 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…	36	190	320	$70	$197.1K
D2392	Post 2 surface resin‑based composite	26	540	990	$60	$188.6K
D0120	Periodic oral evaluation - established patient	193	920	690	$20	$131.3K
D2391	Resin‑based composite – one surface, posterior	66	480	670	$50	$119.5K
D1120	Prophylaxis–child	306	730	690	$20	$112.8K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	28	390	640	$50	$98.8K
D3310	Endodontic therapy, anterior tooth (excluding final restoration)	13	10	90	$340	$98.7K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	312	730	730	$20	$98.5K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	24	660	620	$30	$76.1K
D0150	Comprehensive oral evaluation – new or established patient	14	710	600	$30	$65.7K

Showing 1–10 of 25

Nearby Providers

Other providers in the same ZIP code as Bonney Lake Dental LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
M2 Anesthesia, PLLC	WA	Anesthesiology Physician	$0	$69.2M
East Pierce Fire & Rescue	WA	Land Ambulance	$749.3K	$20.9M
Tko Anesthesia LLC	WA	Anesthesiology Physician	$0	$13M
Chung L. Hwang, Dds, PLLC	WA	Pediatric Dentistry	$0	$4.1M
Kevin H Sakai Dds PLLC	WA	Pediatric Dentistry	$0	$3M
Daniel Levy	WA	Dermatology Physician	$288.5K	$0
Bruce Cudahy	WA	Optometrist	$228.7K	$20.8K
Kamyar Vaziri	WA	Internal Medicine Physician	$113.2K	$0
Jonathan Cyphers	WA	Medical Physician Assistant	$99.3K	$0
Duy Trinh	WA	Family Nurse Practitioner	$1.6K	$0

Bonney Lake Dental LLC — Billing Profile & Reimbursement Data

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Bonney Lake Dental LLC — 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