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

Why is the Medicaid comparison limited to South 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. South 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.

Dakota Dental (NPI 1154729457)

Field	Value
Entity Type	Organization
Organization	Dakota Dental
Address	208 W 37th St
City	Sioux Falls
State	SD
ZIP	57105
Taxonomy	General Practice Dentistry
NPI Enumerated	December 18, 2014

Payer Source	Total Paid
Medicaid	$2.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

24 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	6,200	$60	$347.1K
D2150	Amalgam - two surfaces, primary or permanent	2,960	$100	$283.9K
D0120	Periodic oral evaluation - established patient	8,200	$30	$254.3K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	2,590	$90	$235.7K
D2140	Amalgam - one surface, primary or permanent	2,630	$80	$205.2K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	6,600	$30	$171.6K
D0210	Intraoral - complete series of radiographic images	1,660	$100	$171.4K
D1120	Prophylaxis–child	3,880	$40	$159.2K
D0274	N/A	3,140	$40	$119.3K
D2160	Amalgam - three surfaces, primary or permanent	1,010	$110	$108.5K

Showing 1–10 of 24

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. South Dakota Distribution

Dakota Dental — 7 of 24 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Dakota

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

24 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	9	10	230	$180	$1.3M
D9420	N/A	7	10	640	$160	$317.3K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	8	40	260	$90	$151.5K
D1351	Sealant - per tooth	49	50	400	$30	$117.3K
D2140	Amalgam - one surface, primary or permanent	2	10	40	$80	$111.6K
D2330	Resin-based composite - one surface, anterior	4	10	500	$90	$101.9K
D0140	Limited oral evaluation – problem focused	17	60	120	$140	$84.7K
D2150	Amalgam - two surfaces, primary or permanent	2	10	170	$100	$83.2K
D2331	N/A	3	10	240	$110	$78.4K
D2160	Amalgam - three surfaces, primary or permanent	1	10	430	$110	$63.8K

Showing 1–10 of 24

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
South Dakota Achieve	SD	Developmental Disabilities Clinic/Center	$0	$166.9M
Dakotabilities	SD	Voluntary or Charitable Agency	$0	$77.8M
Sanford Medical Center	SD	Family Medicine Physician	$0	$68.8M
Volunteers Of America, Dakotas	SD	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$60.9M
Southeastern Behavioral Healthcare	SD	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$59.1M
Resouces For Human Development, Inc.	SD	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$31.1M
Sanford Medical Center	SD	General Acute Care Hospital	$0	$24.4M
Childrens Dental Center	SD	Pediatric Dentistry	$0	$24M
Sanford Medical Center	SD	Air Ambulance	$0	$11.9M
Avera Mckennan	SD	Family Medicine Physician	$0	$10.6M

Dakota Dental — Billing Profile & Reimbursement Data

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Dakota Dental — 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