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

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

Cynthia Peticolas (NPI 1134180714)

Field	Value
Entity Type	Individual
Organization	Cynthia Peticolas
Address	548 S 1st Ave
City	Mill City
State	OR
ZIP	97360
Taxonomy	General Practice Dentistry
NPI Enumerated	March 31, 2006

Payer Source	Total Paid
Medicaid	$1.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1351	Sealant - per tooth	12,620	$30	$315.5K
D1120	Prophylaxis–child	4,750	$30	$142.5K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	3,340	$40	$133.7K
D0120	Periodic oral evaluation - established patient	5,900	$20	$129.9K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	6,570	$20	$124.8K
D2392	Post 2 surface resin‑based composite	1,210	$70	$88.3K
D0274	N/A	2,650	$30	$82.2K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	840	$80	$65.2K
D0272	N/A	2,680	$20	$56.2K
D0150	Comprehensive oral evaluation – new or established patient	1,990	$30	$51.7K

Showing 1–10 of 19

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Oregon Distribution

Cynthia Peticolas — 2 of 19 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Oregon

Full comparison — all codes billed, vs. Oregon median

19 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	41	90	140	$180	$233.1K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	67	270	200	$40	$60.1K
D1120	Prophylaxis–child	39	480	350	$30	$55.5K
D2392	Post 2 surface resin‑based composite	60	360	260	$50	$47.6K
D0120	Periodic oral evaluation - established patient	33	610	460	$20	$40.9K
D0140	Limited oral evaluation – problem focused	216	560	240	$30	$37.9K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	18	500	280	$30	$30.5K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	39	580	430	$10	$28.2K
D0150	Comprehensive oral evaluation – new or established patient	51	530	260	$20	$27.3K
D1351	Sealant - per tooth	6	260	360	$10	$25.7K

Showing 1–10 of 19

Cynthia Peticolas — Billing Profile & Reimbursement Data

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Cynthia Peticolas — 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