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

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

Allied Dental Group (NPI 1124171632)

Field	Value
Entity Type	Organization
Organization	Allied Dental Group
Address	234 South Main Street
City	Slippery Rock
State	PA
ZIP	16057
Taxonomy	Oral and Maxillofacial Pathology Dentistry
NPI Enumerated	January 19, 2007

Payer Source	Total Paid
Medicaid	$6.2M
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
D9223	N/A	5,390	$280	$1.5M
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	13,490	$70	$944.1K
D9920	N/A	2,320	$300	$701.4K
D9222	N/A	3,770	$170	$636.5K
D2930	N/A	3,090	$100	$314.7K
D8670	N/A	920	$300	$275.7K
D2392	Post 2 surface resin‑based composite	3,900	$60	$234.1K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	4,940	$30	$148.3K
D0230	Intraoral - periapical each additional radiographic image	7,110	$20	$128.1K
D0120	Periodic oral evaluation - established patient	6,620	$20	$112.6K

Showing 1–10 of 45

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Pennsylvania Distribution

Allied Dental Group — 16 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. Pennsylvania median

45 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D8670	N/A	60	250	310	$250	$253.5K
D8080	N/A	46	80	70	$980	$237.5K
D2930	N/A	14	200	290	$200	$223.1K
D9223	N/A	4	160	280	$200	$150K
D2751	N/A	10	20	50	$540	$147K
D7240	N/A	49	90	140	$250	$102.6K
D3330	N/A	25	30	90	$530	$92.5K
D9222	N/A	2	160	220	$170	$83K
D9920	N/A	7	140	130	$120	$56.9K
D7230	N/A	27	50	140	$190	$56.5K

Showing 1–10 of 45

Allied Dental Group — Billing Profile & Reimbursement Data

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Allied Dental Group — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Frequently Asked Questions

References