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

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

Rhoades Dental P.C. (NPI 1114330750)

Field	Value
Entity Type	Organization
Organization	Rhoades Dental P.C.
Address	17 S Seneca Ave
City	Newcastle
State	WY
ZIP	82701
Taxonomy	Dentist
NPI Enumerated	June 10, 2014

Payer Source	Total Paid
Medicaid	$100.8K
Medicare	$0

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
D0120	Periodic oral evaluation - established patient	1,010	$30	$32.3K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	640	$30	$20.4K
D1999	N/A	660	$20	$13.9K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	270	$50	$12.9K
D1120	Prophylaxis–child	330	$30	$11.2K
D0274	N/A	160	$30	$5.5K
D1330	N/A	540	$1	$2.2K
D9110	N/A	30	$60	$1.7K
D0140	Limited oral evaluation – problem focused	10	$50	$540
D1320	N/A	10	$10	$110

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Wyoming Distribution

Rhoades Dental P.C. — 1 of 10 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wyoming

Full comparison — all codes billed, vs. Wyoming median

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	32	100	130	$30	$46.4K
D1120	Prophylaxis–child	33	100	110	$30	$39.8K
D0120	Periodic oral evaluation - established patient	26	130	170	$30	$36.9K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	28	90	100	$50	$27.4K
D9110	N/A	3	10	30	$60	$23.1K
D0274	N/A	26	60	140	$30	$14.3K
D0140	Limited oral evaluation – problem focused	38	40	110	$40	$13.3K
D1330	N/A	9	30	140	$1	$2.1K
D1999	N/A	1	10	70	$10	$1.5K
D1320	N/A	5	10	50	$10	$950

Nearby Providers

Other providers in the same ZIP code as Rhoades Dental P.C., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Weston County Hospital District	WY	Rural Health Clinic/Center	$0	$605.5K
Cambria Heights LLC	WY	Assisted Living Facility	$0	$332.1K
Volunteers Of America Northern Rockies	WY	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$96.5K
Monument Health Network, Inc.	WY	Rural Health Clinic/Center	$0	$94.3K
Timothy Robinson	WY	Optometrist	$46K	$42K
Hometown Medical Clinic P.C.	WY	Family Medicine Physician	$0	$69.3K
Ashley Tupper	WY	Primary Care Nurse Practitioner	$59.5K	$0
John Haeberle	WY	Family Medicine Physician	$59.4K	$0
Weston County Hospital District	WY	Community/Retail Pharmacy	$42.6K	$0
Weston County Children's Center	WY	Developmental Disabilities Clinic/Center	$0	$31.6K

Rhoades Dental P.C. — Billing Profile & Reimbursement Data

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Rhoades Dental P.C. — 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