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.

Anthony Frank Dds PC (NPI 1154960979)

Field	Value
Entity Type	Organization
Organization	Anthony Frank Dds PC
Address	1714 N 9th St
City	Bismarck
State	ND
ZIP	58501
Taxonomy	Dental Clinic/Center
NPI Enumerated	December 26, 2019

Payer Source	Total Paid
Medicaid	$96.8K
Medicare	$0

Medicaid: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	590	$50	$28.3K
D0120	Periodic oral evaluation - established patient	1,050	$30	$26.2K
D1208	Topical application of fluoride - excluding varnish	980	$20	$20.6K
D0274	N/A	380	$30	$13K
D1120	Prophylaxis–child	100	$30	$3K
D2392	Post 2 surface resin‑based composite	20	$90	$1.8K
D2391	Resin‑based composite – one surface, posterior	20	$80	$1.6K
D0330	N/A	10	$70	$890
D4910	Periodontal maintenance procedures	20	$40	$860
D0272	N/A	30	$20	$610

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

Anthony Frank Dds PC — 0 of 10 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

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2392	Post 2 surface resin‑based composite	33	40	130	$110	$83.4K
D2391	Resin‑based composite – one surface, posterior	23	30	100	$90	$63.3K
D1120	Prophylaxis–child	55	80	360	$40	$48.3K
D0120	Periodic oral evaluation - established patient	31	120	350	$40	$46.8K
D4910	Periodontal maintenance procedures	3	10	50	$60	$35K
D1208	Topical application of fluoride - excluding varnish	8	30	320	$20	$26.3K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	19	80	160	$40	$24.1K
D0272	N/A	37	50	150	$20	$20.5K
D0330	N/A	39	40	80	$40	$18.1K
D0274	N/A	21	50	240	$30	$14.3K

Nearby Providers

Other providers in the same ZIP code as Anthony Frank Dds PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Enable, Inc.	ND	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$40.8M
Heartview Foundation	ND	Substance Use Disorder Rehabilitation Clinic/Center	$0	$13.6M
Sanford Bismarck	ND	General Acute Care Hospital	$0	$12.5M
Bismarck Public Schools Early Intervention	ND	Early Intervention Provider Agency	$0	$12M
West Central Behavioral Health Clinic	ND	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$6.2M
D. Michael Goebel D.d.s., PC	ND	Pediatric Dentistry	$0	$5.8M
Poppy's Promise LLC	ND	Community/Behavioral Health Agency	$0	$5.6M
Sanford Bismarck	ND	Clinical Medical Laboratory	$726.9K	$4.3M
St. Alexius Medical Center	ND	Specialist	$0	$3.6M
Lasting Love Homecare	ND	In Home Supportive Care Agency	$0	$3.6M

Anthony Frank Dds PC — Billing Profile & Reimbursement Data

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Anthony Frank Dds PC — 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