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

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

Ltc Dental (NPI 1124619556)

Field	Value
Entity Type	Organization
Organization	Ltc Dental
Address	4060 S Lake Dr Apt 4
City	Saint Francis
State	WI
ZIP	53235
Taxonomy	Dental Clinic/Center
NPI Enumerated	January 28, 2021

Payer Source	Total Paid
Medicaid	$1.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	8,030	$30	$273.2K
D9410	N/A	6,280	$40	$270K
D5110	N/A	400	$450	$180.6K
D0191	N/A	13,870	$10	$180.3K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	8,440	$20	$135K
D5120	N/A	210	$430	$90.7K
D4355	N/A	300	$70	$20.8K
D0140	Limited oral evaluation – problem focused	910	$20	$19.2K
D0210	Intraoral - complete series of radiographic images	210	$60	$11.9K
D0120	Periodic oral evaluation - established patient	110	$20	$1.7K

Showing 1–10 of 12

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Wisconsin Distribution

Ltc Dental — 3 of 12 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wisconsin

Full comparison — all codes billed, vs. Wisconsin median

12 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D9410	N/A	2	10	3,220	$30	$276.4K
D0210	Intraoral - complete series of radiographic images	164	270	360	$40	$60K
D0120	Periodic oral evaluation - established patient	365	500	480	$20	$56K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	33	500	350	$30	$51.5K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	57	540	560	$10	$50.8K
D0140	Limited oral evaluation – problem focused	117	340	380	$20	$35.3K
D5110	N/A	1	20	40	$360	$30.6K
D5120	N/A	1	10	40	$360	$28.9K
D0191	N/A	8	210	770	$10	$26.3K
D0220	Intraoral - periapical first radiographic image	294	350	630	$10	$24.7K

Showing 1–10 of 12

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lakeshore Medical Clinic, LLC	WI	Family Medicine Physician	$0	$8.4M
Sarah Reimer	WI	Diagnostic Radiology Physician	$234.1K	$0
Mack Karnes	WI	Diagnostic Radiology Physician	$207.2K	$150
Orlin Hadjiev	WI	Diagnostic Radiology Physician	$177.8K	$0
Rupesh Patel	WI	Diagnostic Radiology Physician	$151.3K	$320
Anand Brahmamdam	WI	Diagnostic Radiology Physician	$138.6K	$0
Ryan Hilbelink	WI	Diagnostic Radiology Physician	$131.8K	$0
Kari Kluessendorf	WI	Diagnostic Radiology Physician	$130K	$0
Daniel Peterson	WI	Diagnostic Radiology Physician	$124.5K	$0
Xue Wang	WI	Diagnostic Radiology Physician	$120.2K	$0

Ltc Dental — Billing Profile & Reimbursement Data

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Ltc Dental — 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