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

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

Matthew Henry (NPI 1154561926)

Field	Value
Entity Type	Individual
Organization	Matthew Henry
Address	1439 Stillwater Ave Ste 7
City	Cheyenne
State	WY
ZIP	82009
Taxonomy	Pediatric Dentistry
NPI Enumerated	March 5, 2009

Payer Source	Total Paid
Medicaid	$8.6K
Medicare	$0

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D0120	Periodic oral evaluation - established patient	50	$140	$7.2K
D1120	Prophylaxis–child	30	$20	$610
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	70	$10	$540
D0220	Intraoral - periapical first radiographic image	10	$20	$290
D0230	Intraoral - periapical each additional radiographic image	20	$0	$0

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Wyoming Distribution

Matthew Henry — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wyoming

Full comparison — all codes billed, vs. Wyoming median

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	62	100	130	$30	$46.4K
D1120	Prophylaxis–child	70	100	110	$30	$39.8K
D0120	Periodic oral evaluation - established patient	91	130	170	$30	$36.9K
D0230	Intraoral - periapical each additional radiographic image	25	30	370	$10	$20.7K
D0220	Intraoral - periapical first radiographic image	39	50	200	$20	$19.5K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Matthew Henry, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pediatric Dentistry LLC	WY	Pediatric Dentistry	$0	$4.1M
Pediatric Dentistry Of Nebraska	NE	Pediatric Dentistry	$0	$3.6M

Matthew Henry — Billing Profile & Reimbursement Data

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Matthew Henry — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References