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

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

Kennebec Valley Family Dentistry (NPI 1114153939)

Field	Value
Entity Type	Organization
Organization	Kennebec Valley Family Dentistry
Address	269 Water St
City	Augusta
State	ME
ZIP	04330
Taxonomy	Point of Service
NPI Enumerated	June 8, 2009

Payer Source	Total Paid
Medicaid	$4.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

40 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1120	Prophylaxis–child	12,710	$40	$470.2K
D0120	Periodic oral evaluation - established patient	15,150	$30	$454.6K
D2392	Post 2 surface resin‑based composite	3,740	$110	$419.1K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	7,330	$50	$366.5K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	17,080	$20	$307.5K
D0140	Limited oral evaluation – problem focused	9,500	$30	$303.9K
D0330	N/A	4,640	$60	$269.1K
D0274	N/A	8,620	$30	$267.2K
D1351	Sealant - per tooth	13,020	$20	$260.4K
D1354	N/A	10,070	$30	$251.8K

Showing 1–10 of 40

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Maine Distribution

Kennebec Valley Family Dentistry — 12 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maine

Full comparison — all codes billed, vs. Maine median

40 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	19	70	630	$100	$235.5K
D3330	N/A	2	10	20	$930	$116.6K
D2392	Post 2 surface resin‑based composite	7	80	260	$80	$88.2K
D1351	Sealant - per tooth	9	80	1,040	$20	$87.6K
D1120	Prophylaxis–child	4	160	500	$30	$56.2K
D2940	N/A	10	20	400	$50	$50.1K
D0120	Periodic oral evaluation - established patient	5	140	480	$20	$46.8K
D1354	N/A	3	50	620	$20	$43.9K
D2391	Resin‑based composite – one surface, posterior	7	70	230	$60	$43.2K
D0150	Comprehensive oral evaluation – new or established patient	3	100	310	$50	$39.3K

Showing 1–10 of 40

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mainegeneral Medical Center	ME	General Acute Care Hospital	$0	$168.1M
Motivational Services Inc	ME	Voluntary or Charitable Agency	$0	$92.2M
Employment Specialists Of Maine, Inc.	ME	Mental Illness Community Based Residential Treatment Facility	$0	$84.2M
Crisis And Counseling Centers, Inc.	ME	Mental Health Counselor	$0	$21M
Gallant Therapy Services	ME	Developmentally Disabled Services Day Training Agency	$0	$20.5M
Children's Center: Early Intervention And Family Support, Inc.	ME	Specialist	$0	$13.6M
Central Maine Area Agency On Aging	ME	In Home Supportive Care Agency	$0	$13.5M
Anglez Behavioral Health Services PA	ME	Case Management Agency	$0	$12.5M
Kennebec Pharmacy And Home Care LLC	ME	Parenteral & Enteral Nutrition Supplies (DME)	$0	$11.6M
Kennebec Home Care LLC	ME	Home Health Agency	$0	$9.6M

Kennebec Valley Family Dentistry — Billing Profile & Reimbursement Data

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Kennebec Valley Family Dentistry — Billing Profile & Reimbursement Data

Sign up for Kennebec Valley Family Dentistry — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References