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 U.S. Virgin Islands for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to U.S. Virgin Islands 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. U.S. Virgin Islands (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.

One Dental Practice LLC (NPI 1114386380)

Field	Value
Entity Type	Organization
Organization	One Dental Practice LLC
Address	35 Castle Coakley
City	Christiansted
State	VI
ZIP	00820
Taxonomy	Dentist
NPI Enumerated	February 17, 2016

Payer Source	Total Paid
Medicaid	$3.2M
Medicare	$0

Key Findings

ONE DENTAL PRACTICE LLC reports no Medicare billing on file and $3.2M in lifetime Medicaid revenue, making it effectively a Medicaid-focused dental provider rather than a dual-payer operation. The absence of Medicare activity on file suggests payer exposure and business risk are concentrated in Medicaid reimbursement policies and patient flows.

Revenue is highly concentrated in a small set of dental procedures: the precomputed top three Medicaid codes account for 48.3% of this provider's total Medicaid revenue. In particular, D2740 alone represents $837.1K (26.5% of Medicaid revenue), indicating a small number of high-revenue procedures drive much of the practice’s Medicaid income.

The code mix indicates a restorative-focused general dental practice with substantial preventive and periodontal services. High-volume posterior composite codes D2392 (1.9K claims, $235 avg paid/claim, $437.1K revenue; 13.9%) and D2391 (1.4K claims, $184 avg paid/claim, $250.1K revenue; 7.9%) point to routine restorative fillings, while D1110 (1.5K claims, $100 avg paid/claim, $148.4K; 4.7%) and D1206 (2.7K claims, $43 avg paid/claim, $117.3K; 3.7%) reflect preventive services.

Clinical complexity is also present: D4341 (769 claims, $270 avg paid/claim, $207.6K revenue; 6.6%) and D4910 (681 claims, $151 avg paid/claim, $102.8K; 3.3%) show periodontal scaling/maintenance activity, and D0210 (1.1K claims, $135 avg paid/claim, $142.2K; 4.5%) documents consistent imaging use to support restorative workflows. This mix suggests the provider manages both routine restorative demand and ongoing periodontal care for Medicaid patients.

Competitive standing by in-state rank is mixed across high-revenue codes. For restorative fillings, the provider ranks #2 of 7 for D2392 (83th percentile; typical, unremarkable volume for this code) and #3 of 8 for D2391 (71th percentile; typical, unremarkable volume for this code), indicating above-median volume among peers for posterior composites, while D2740 ranks #2 of 2 (0th percentile; typical, unremarkable volume for this code), implying no clear dominance for that high-revenue code within the very small peer set.

Several high-volume codes are explicitly labeled in the data as "typical, unremarkable volume for this code," which tempers claims of market dominance despite some high percentiles. Notably, D4342 is listed as rank #1 of 2 (100th percentile; typical, unremarkable volume for this code), illustrating how small peer counts can produce extreme percentiles while the underlying label advises caution in interpreting outlier status.

Operational signals in claims and average paid/claim further characterize the practice: D2392 shows 1.9K claims at $235 avg paid/claim and D2391 shows 1.4K claims at $184 avg paid/claim, while D2740 carries 689 claims at $1215 avg paid/claim. These counts and payment levels are consistent with a mid-sized dental office performing high volumes of restorations and a smaller number of higher-paid procedures that disproportionately contribute to revenue.

The provider’s NPI was enumerated on 2016-02-17 (~10 years ago), indicating about a decade of billing history under this enumeration. This tenure combined with concentrated Medicaid revenue suggests established operations within the local Medicaid market but continued reliance on a single major payer stream.

Medicaid: Complete Services Breakdown

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

27 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2740	N/A	690	$1,220	$837.1K
D2392	Post 2 surface resin‑based composite	1,860	$240	$437.1K
D2391	Resin‑based composite – one surface, posterior	1,360	$180	$250.1K
D4341	Periodontal scaling and root planing - four or more teeth per quadrant	770	$270	$207.6K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	1,480	$100	$148.4K
D0210	Intraoral - complete series of radiographic images	1,050	$140	$142.2K
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…	450	$300	$136.5K
D0150	Comprehensive oral evaluation – new or established patient	1,540	$80	$127.5K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	2,730	$40	$117.3K
D4910	Periodontal maintenance procedures	680	$150	$102.8K

Showing 1–10 of 27

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. U.S. Virgin Islands Distribution

One Dental Practice LLC — 1 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — U.S. Virgin Islands

Full comparison — all codes billed, vs. U.S. Virgin Islands median

27 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2740	N/A	2	10	4,100	$1,080	$4.4M
D2392	Post 2 surface resin‑based composite	2	10	520	$230	$376.2K
D2950	N/A	3	10	560	$300	$344.4K
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…	4	10	1,020	$270	$320.4K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	6	10	1,120	$160	$299.5K
D4341	Periodontal scaling and root planing - four or more teeth per quadrant	3	10	920	$250	$247.5K
D2391	Resin‑based composite – one surface, posterior	3	10	190	$180	$232.4K
D1330	N/A	3	10	3,530	$50	$185.5K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	4	10	1,090	$80	$167.9K
D0140	Limited oral evaluation – problem focused	5	10	2,520	$70	$156K

Showing 1–10 of 27

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St Croix Vision Center Inc	VI	Optometrist	$0	$3.6M
Governor Juan F. Luis Hospital & Medical Center	VI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3M
Js Therapies, LLC	VI	Occupational Therapist	$0	$2.9M
Healthquest, LLC.	VI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.4M
Department Of Health, Ems Stx	VI	Land Ambulance	$0	$2.2M
Lindsy Wagner LLC	VI	Clinical Social Worker	$0	$2.2M
Ophthalmology Consultants, PC	VI	Ophthalmology Physician	$0	$2.1M
Acute Alternative Medical Group	VI	Emergency Medical Services (Emergency Medicine) Physician	$0	$1.9M
Pediatric Care Center LLC	VI	Pediatrics Physician	$0	$1.7M
Island Dental Specialties Dba Toothworks	VI	Endodontics	$0	$1.5M

One Dental Practice LLC — Billing Profile & Reimbursement Data

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One Dental Practice LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References