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

Why is the Medicaid comparison limited to South Dakota 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. South Dakota (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.

Josh Brower Dds Prof LLC (NPI 1114329265)

Field	Value
Entity Type	Organization
Organization	Josh Brower Dds Prof LLC
Address	5000 W Empire Mall
City	Sioux Falls
State	SD
ZIP	57106
Taxonomy	Dental Clinic/Center
NPI Enumerated	September 19, 2014

Payer Source	Total Paid
Medicaid	$55K
Medicare	$0

Medicaid: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	240	$50	$12.4K
D0274	N/A	230	$30	$7.8K
D0150	Comprehensive oral evaluation – new or established patient	170	$40	$6.9K
D0120	Periodic oral evaluation - established patient	230	$30	$6.3K
D0210	Intraoral - complete series of radiographic images	80	$80	$6.2K
D2392	Post 2 surface resin‑based composite	50	$90	$4.3K
D1120	Prophylaxis–child	90	$40	$3.2K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	140	$20	$3K
D2150	Amalgam - two surfaces, primary or permanent	30	$90	$2.7K
D0140	Limited oral evaluation – problem focused	30	$40	$1.1K

Showing 1–10 of 12

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. South Dakota Distribution

Josh Brower Dds Prof LLC — 0 of 12 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Dakota

Full comparison — all codes billed, vs. South Dakota median

12 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2392	Post 2 surface resin‑based composite	41	60	100	$100	$89.5K
D0140	Limited oral evaluation – problem focused	51	60	120	$140	$84.7K
D2150	Amalgam - two surfaces, primary or permanent	7	10	170	$100	$83.2K
D1120	Prophylaxis–child	92	140	150	$40	$59.7K
D0210	Intraoral - complete series of radiographic images	18	40	40	$100	$55.6K
D0120	Periodic oral evaluation - established patient	103	180	320	$30	$50.8K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	107	160	270	$30	$50.1K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	62	140	200	$60	$41.2K
D0272	N/A	54	70	100	$30	$34.3K
D0150	Comprehensive oral evaluation – new or established patient	40	110	100	$60	$30.9K

Showing 1–10 of 12

Nearby Providers

Other providers in the same ZIP code as Josh Brower Dds Prof LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Universal Nursing Services, Ltd	SD	Home Health Agency	$0	$33.2M
Independent Living Choices	SD	Home Health Agency	$0	$13M
Edgewood Prairie Crossings Sioux Falls	SD	Assisted Living Facility	$0	$1.8M
Children's Care Hospital And School	SD	Rehabilitation Hospital	$0	$1.8M
Kore Cares, LLC	SD	Home Health Agency	$0	$1.3M
Weber Home Care Services LLC	SD	Home Health Agency	$0	$1.3M
Stronghold Counseling Services Inc	SD	Counselor	$0	$1.1M
Avera Mckennan	SD	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.1M
Gpps LLC	SD	Multi-Specialty Clinic/Center	$0	$836.4K
North Central Eye, Inc.	SD	Clinic/Center	$0	$764.5K

Josh Brower Dds Prof LLC — Billing Profile & Reimbursement Data

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Josh Brower Dds Prof 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