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

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

Valparaiso Family Dentistry PC (NPI 1093874638)

Field	Value
Entity Type	Organization
Organization	Valparaiso Family Dentistry PC
Address	2005 Roosevelt Rd
City	Valparaiso
State	IN
ZIP	46383
Taxonomy	General Practice Dentistry
NPI Enumerated	December 8, 2006

Payer Source	Total Paid
Medicaid	$14.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

45 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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…	27,730	$130	$3.7M
D7240	N/A	6,710	$250	$1.7M
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	30,630	$40	$1.3M
D0330	N/A	16,110	$40	$708.8K
D0120	Periodic oral evaluation - established patient	34,380	$20	$687.6K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	11,050	$60	$663.1K
D2392	Post 2 surface resin‑based composite	10,350	$60	$641.9K
D0140	Limited oral evaluation – problem focused	18,210	$30	$619.2K
D0274	N/A	18,150	$30	$508.2K
D2393	Resin-based composite, three surfaces, posterior	4,980	$80	$373.8K

Showing 1–10 of 45

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Indiana Distribution

Valparaiso Family Dentistry PC — 19 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Indiana

Full comparison — all codes billed, vs. Indiana median

45 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	126	170	1,180	$130	$370.2K
D7240	N/A	3	80	530	$270	$360.3K
D1354	N/A	52	130	700	$70	$252.9K
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	350	410	$150	$251K
D1351	Sealant - per tooth	167	450	780	$20	$118.4K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	11	540	460	$70	$106.9K
D9243	N/A	14	70	610	$60	$102.3K
D7230	N/A	3	50	90	$210	$101.3K
D3220	N/A	57	90	240	$90	$90K
D7250	N/A	8	60	130	$180	$76.9K

Showing 1–10 of 45

Related Providers

Other providers that share a Tax Identification Number (TIN) with Valparaiso Family Dentistry PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Raed Aldelayme	IN	Dentist	$0	$3.7M

Nearby Providers

Other providers in the same ZIP code as Valparaiso Family Dentistry PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Porter Hospital LLC	IN	General Acute Care Hospital	$0	$28.2M
Opportunity Enterprises, Inc.	IN	Developmentally Disabled Services Day Training Agency	$0	$26.1M
Porter-starke Services Inc.	IN	Mental Health Clinic/Center (Including Community Mental Health Center)	$116.4K	$24.7M
La Porte Clinic Company LLC	IN	Internal Medicine Physician	$0	$18.8M
Porter-starke Services Inc	IN	Psychiatric Hospital	$0	$16.8M
Porter Starke Services Inc	IN	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$11.9M
Healthlinc, Inc.	IN	Federally Qualified Health Center (FQHC)	$0	$7.1M
Porter Physician Services LLC	IN	Family Medicine Physician	$0	$6.4M
Anchor Health Systems, Inc.	IN	Home Health Agency	$0	$5.5M
Lpa Co.	IN	Marriage & Family Therapist	$0	$3.6M

Valparaiso Family Dentistry PC — Billing Profile & Reimbursement Data

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Valparaiso Family Dentistry 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

Related Providers

Nearby Providers

Frequently Asked Questions

References