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.

Cody Dental Excellence (NPI 1154696409)

Field	Value
Entity Type	Organization
Organization	Cody Dental Excellence
Address	726 Allen Ave
City	Cody
State	WY
ZIP	82414
Taxonomy	General Practice Dentistry
NPI Enumerated	March 20, 2012

Payer Source	Total Paid
Medicaid	$121.5K
Medicare	$0

Medicaid: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D0120	Periodic oral evaluation - established patient	1,240	$30	$40.9K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	570	$50	$28.4K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	690	$40	$24K
D1120	Prophylaxis–child	410	$40	$14.7K
D0274	N/A	200	$30	$6.9K
D0330	N/A	50	$50	$2.4K
D0272	N/A	60	$30	$1.6K
D2391	Resin‑based composite – one surface, posterior	20	$80	$1.4K
D0150	Comprehensive oral evaluation – new or established patient	40	$30	$1.2K

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

Cody Dental Excellence — 0 of 9 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

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2391	Resin‑based composite – one surface, posterior	21	20	140	$70	$56.9K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	29	100	130	$30	$46.4K
D1120	Prophylaxis–child	31	100	110	$30	$39.8K
D0120	Periodic oral evaluation - established patient	22	130	170	$30	$36.9K
D0272	N/A	26	40	150	$20	$27.8K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	20	90	100	$50	$27.4K
D0330	N/A	22	40	70	$50	$20.6K
D0150	Comprehensive oral evaluation – new or established patient	33	60	70	$30	$15K
D0274	N/A	22	60	140	$30	$14.3K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northern Ddsp, Inc.	WY	Developmentally Disabled Services Day Training Agency	$0	$9.1M
Hands 2 Help, LLC.	WY	Home Health Agency	$0	$2.9M
Big Horn Basin Childrens Clinic PC	WY	Pediatrics Physician	$0	$997.5K
West Park Hospital District	WY	Critical Access Hospital	$0	$950.8K
Northern Wyoming Surgical Center, LLC	WY	Ambulatory Surgical Clinic/Center	$865.9K	$0
Guardian Flight LLC	WY	Air Ambulance	$738.8K	$0
West Park Hospital District	WY	Multi-Specialty Clinic/Center	$0	$726.1K
Cailyn Dallman	WY	Case Manager/Care Coordinator	$0	$630.7K
Barry Welch	WY	Ophthalmology Physician	$430.2K	$0
Allen Gee	WY	Neurology Physician	$344K	$0

Cody Dental Excellence — Billing Profile & Reimbursement Data

Sign up for Cody Dental Excellence — Billing Profile & Reimbursement Data policy alerts

Cody Dental Excellence — Billing Profile & Reimbursement Data

Sign up for Cody Dental Excellence — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References