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

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

Emerald Dental (NPI 1184262495)

Field	Value
Entity Type	Organization
Organization	Emerald Dental
Address	533 Main St
City	Wilmington
State	DE
ZIP	19804
Taxonomy	General Practice Dentistry
NPI Enumerated	December 17, 2019

Payer Source	Total Paid
Medicaid	$1.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

34 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2392	Post 2 surface resin‑based composite	1,880	$220	$419.5K
D2393	Resin-based composite, three surfaces, posterior	780	$290	$225.6K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	2,300	$60	$140.2K
D2391	Resin‑based composite – one surface, posterior	660	$180	$116.6K
D0150	Comprehensive oral evaluation – new or established patient	1,860	$60	$105.9K
D0120	Periodic oral evaluation - established patient	3,110	$30	$105.9K
D1120	Prophylaxis–child	2,030	$50	$95.2K
D0210	Intraoral - complete series of radiographic images	990	$80	$82.7K
D0140	Limited oral evaluation – problem focused	1,410	$50	$76.1K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	2,560	$30	$71.5K

Showing 1–10 of 34

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Delaware Distribution

Emerald Dental — 0 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Delaware

Full comparison — all codes billed, vs. Delaware median

34 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	24	30	580	$260	$446.8K
D2392	Post 2 surface resin‑based composite	23	90	490	$220	$366.3K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…	11	20	240	$180	$237.1K
D2393	Resin-based composite, three surfaces, posterior	10	40	260	$270	$226.1K
D1351	Sealant - per tooth	43	70	1,690	$40	$217.1K
D2391	Resin‑based composite – one surface, posterior	25	70	320	$180	$192K
D1120	Prophylaxis–child	38	120	960	$50	$163.3K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	41	60	270	$140	$137K
D2394	N/A	7	10	180	$310	$123K
D9230	N/A	28	30	900	$70	$121.1K

Showing 1–10 of 34

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
1st State Accessibility, LLC	DE	Customized Equipment (DME)	$0	$8.2M
Gunning Partners, LLC	DE	In Home Supportive Care Agency	$0	$5.7M
Avalon Dental LLC	DE	General Practice Dentistry	$0	$5.5M
Delaware Behavioral Health, Inc.	DE	Child & Family Psychiatric/Mental Health Clinical Nurse Specialist	$0	$1.2M
Andina Dental Studio Inc	DE	Dental Clinic/Center	$0	$727K
Rosemary K And Timothy J Clay Dmd	DE	Pediatric Dentistry	$0	$372.5K
Dental Diamond LLC	DE	Dental Clinic/Center	$0	$328.3K
State Of Delaware	DE	Local Education Agency (LEA)	$0	$236.1K
Murtaza Bhatti	DE	Internal Medicine Physician	$233.7K	$790
Five Points Fire Company No 1	DE	Land Ambulance	$70.2K	$133.6K

Emerald Dental — Billing Profile & Reimbursement Data

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Emerald 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