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

Why is the Medicaid comparison limited to North Dakota 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. North Dakota (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.

Daniel Schefter (NPI 1134322738)

Field	Value
Entity Type	Individual
Organization	Daniel Schefter
Address	3001 B 32nd Ave S
City	Grand Forks
State	ND
ZIP	58201
Taxonomy	General Practice Dentistry
NPI Enumerated	June 9, 2007

Payer Source	Total Paid
Medicaid	$230.7K
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
D1120	Prophylaxis–child	1,350	$40	$55.4K
D0120	Periodic oral evaluation - established patient	1,680	$30	$45.3K
D1208	Topical application of fluoride - excluding varnish	1,330	$20	$30.6K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	580	$50	$30.2K
D9110	N/A	360	$60	$22K
D0274	N/A	570	$40	$20.5K
D0150	Comprehensive oral evaluation – new or established patient	250	$40	$10.6K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	270	$30	$6.8K
D0220	Intraoral - periapical first radiographic image	310	$20	$5.3K
D2140	Amalgam - one surface, primary or permanent	20	$80	$1.8K

Showing 1–10 of 12

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. North Dakota Distribution

Daniel Schefter — 0 of 12 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Dakota

Full comparison — all codes billed, vs. North Dakota median

12 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2391	Resin‑based composite – one surface, posterior	25	30	100	$90	$63.3K
D1120	Prophylaxis–child	19	80	360	$40	$48.3K
D0120	Periodic oral evaluation - established patient	23	120	350	$40	$46.8K
D0150	Comprehensive oral evaluation – new or established patient	30	60	250	$50	$27K
D1208	Topical application of fluoride - excluding varnish	6	30	320	$20	$26.3K
D9110	N/A	2	10	360	$40	$24.5K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	20	80	160	$40	$24.1K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	52	110	230	$20	$23.6K
D0330	N/A	39	40	80	$40	$18.1K
D2140	Amalgam - one surface, primary or permanent	9	10	100	$60	$14.7K

Showing 1–10 of 12

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Development Homes Inc	ND	Community/Behavioral Health Agency	$0	$53.9M
Altru Health System	ND	Clinic/Center	$0	$29.7M
Altru Health System	ND	General Acute Care Hospital	$0	$18.7M
L.i.s.t.e.n. Inc	ND	Community/Behavioral Health Agency	$0	$9.4M
Peterson Medical Clinics, LLC	ND	Multi-Specialty Clinic/Center	$0	$8.8M
Edgewood Sartell LLC	ND	Assisted Living Facility	$0	$7.1M
Northeast Behavioral Health Clinic	ND	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$6.7M
Spectra Health	ND	Federally Qualified Health Center (FQHC)	$0	$5.5M
Little Miracles, Inc.	ND	Multi-Specialty Clinic/Center	$0	$5.5M
Anil Potti	ND	Hematology & Oncology Physician	$4.9M	$0

Daniel Schefter — Billing Profile & Reimbursement Data

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Daniel Schefter — 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