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

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

Larry Heggerness Social Purpose Professional Corporation (NPI 1124365796)

Field	Value
Entity Type	Organization
Organization	Larry Heggerness Social Purpose Professional Corporation
Address	6720 Fort Dent Way Ste 120
City	Tukwila
State	WA
ZIP	98188
Taxonomy	Pediatric Dentistry
NPI Enumerated	January 15, 2013

Payer Source	Total Paid
Medicaid	$3.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

36 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D8080	N/A	1,660	$310	$519.3K
D2392	Post 2 surface resin‑based composite	6,590	$60	$415.4K
D0120	Periodic oral evaluation - established patient	14,850	$20	$356.4K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	18,550	$20	$315.4K
D1351	Sealant - per tooth	14,020	$20	$294.5K
D1120	Prophylaxis–child	13,360	$20	$267.1K
D8670	N/A	1,590	$140	$214.7K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	4,840	$40	$174.3K
D0150	Comprehensive oral evaluation – new or established patient	3,450	$30	$117.4K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	1,910	$50	$101.4K

Showing 1–10 of 36

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Washington Distribution

Larry Heggerness Social Purpose Professional Corporation — 0 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. Washington median

36 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D8080	N/A	34	110	970	$370	$634K
D2930	N/A	103	160	1,710	$140	$531.8K
D7240	N/A	55	70	990	$150	$409.8K
D8670	N/A	21	90	640	$220	$233K
D2392	Post 2 surface resin‑based composite	70	540	990	$60	$188.6K
D7230	N/A	41	50	340	$130	$132.9K
D0120	Periodic oral evaluation - established patient	90	920	690	$20	$131.3K
D2391	Resin‑based composite – one surface, posterior	170	480	670	$50	$119.5K
D1120	Prophylaxis–child	82	730	690	$20	$112.8K
D1351	Sealant - per tooth	45	400	1,120	$20	$103.9K

Showing 1–10 of 36

Nearby Providers

Other providers in the same ZIP code as Larry Heggerness Social Purpose Professional Corporation, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Healthpoint	WA	Federally Qualified Health Center (FQHC)	$0	$10M
Cowlitz Indian Tribe	WA	Public Health & General Preventive Medicine Physician	$0	$9.4M
Sound	WA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$8.9M
Northwest Kidney Centers	WA	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$7.9M
South Center Pediatric Dentistry And Orthodontics LLC	WA	Pediatric Dentistry	$0	$6.8M
Kan-di-ki LLC	WA	Portable X-ray and/or Other Portable Diagnostic Imaging Supplier	$773.2K	$623K
St John Cavins	WA	Psychiatric/Mental Health Nurse Practitioner	$52.9K	$0
Selena Diaz	WA	Nurse Practitioner	$35.7K	$0
Edward Ebert	WA	Psychiatric/Mental Health Nurse Practitioner	$4.8K	$0

Larry Heggerness Social Purpose Professional Corporation — Billing Profile & Reimbursement Data

Sign up for Larry Heggerness Social Purpose Professional Corporation — Billing Profile & Reimbursement Data policy alerts

Larry Heggerness Social Purpose Professional Corporation — Billing Profile & Reimbursement Data

Sign up for Larry Heggerness Social Purpose Professional Corporation — 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