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

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

Brafman Family Dentistry PA (NPI 1134231509)

Field	Value
Entity Type	Organization
Organization	Brafman Family Dentistry PA
Address	31383 Dogwood Acres Rd
City	Dagsboro
State	DE
ZIP	19939
Taxonomy	General Practice Dentistry
NPI Enumerated	August 31, 2006

Payer Source	Total Paid
Medicaid	$108.8K
Medicare	$0

Medicaid: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D0274	N/A	430	$50	$22.4K
D0120	Periodic oral evaluation - established patient	580	$40	$21.3K
D1120	Prophylaxis–child	260	$50	$13.7K
D0220	Intraoral - periapical first radiographic image	570	$20	$13.6K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	360	$30	$12.2K
D0230	Intraoral - periapical each additional radiographic image	570	$20	$12K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	80	$70	$5.9K
D1351	Sealant - per tooth	100	$40	$4.2K
D1208	Topical application of fluoride - excluding varnish	100	$30	$3K
D0272	N/A	10	$30	$420

Showing 1–10 of 11

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Delaware Distribution

Brafman Family Dentistry PA — 0 of 10 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Delaware

Full comparison — all codes billed, vs. Delaware median

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D1351	Sealant - per tooth	61	70	1,690	$40	$217.1K
D1120	Prophylaxis–child	88	120	960	$50	$163.3K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	87	130	1,220	$30	$116.9K
D0120	Periodic oral evaluation - established patient	89	160	800	$40	$110.5K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	118	160	330	$60	$82.3K
D0272	N/A	74	80	430	$40	$71.6K
D0274	N/A	57	130	330	$50	$57.4K
D0230	Intraoral - periapical each additional radiographic image	41	90	480	$20	$52.9K
D0220	Intraoral - periapical first radiographic image	48	110	410	$20	$46.6K
D1208	Topical application of fluoride - excluding varnish	32	50	220	$30	$26.8K

Showing 1–10 of 11

Nearby Providers

Other providers in the same ZIP code as Brafman Family Dentistry PA, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nancy Squires	DE	Family Medicine Physician	$229.8K	$0
Beebe Physicians Network, Inc	DE	Student Health Clinic/Center	$0	$212.7K

Brafman Family Dentistry PA — Billing Profile & Reimbursement Data

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Brafman Family Dentistry PA — 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