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

Why is the Medicaid comparison limited to Rhode Island 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. Rhode Island (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.

Abhishek Kapoor (NPI 1184852147)

Field	Value
Entity Type	Individual
Organization	Abhishek Kapoor
Address	191, Social Street,
City	Woonsocket
State	RI
ZIP	02895
Taxonomy	Dentist
NPI Enumerated	June 29, 2009

Payer Source	Total Paid
Medicaid	$2.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	14,110	$160	$2.3M
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	6,560	$20	$131.3K
D1120	Prophylaxis–child	5,130	$20	$117.9K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	4,880	$10	$48.8K
D1351	Sealant - per tooth	4,090	$10	$44.9K
D0274	N/A	1,720	$10	$13.7K
D0120	Periodic oral evaluation - established patient	2,210	$10	$13.3K
D0140	Limited oral evaluation – problem focused	3,010	$1	$9K
D2391	Resin‑based composite – one surface, posterior	430	$20	$6.8K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	1,390	$1	$5.6K

Showing 1–10 of 17

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Rhode Island Distribution

Abhishek Kapoor — 0 of 16 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Rhode Island

Full comparison — all codes billed, vs. Rhode Island median

17 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	15	120	400	$130	$896.9K
D1120	Prophylaxis–child	27	160	710	$30	$91.2K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	19	150	800	$30	$81.3K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	21	100	510	$50	$65.4K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	22	180	490	$20	$42.3K
D1351	Sealant - per tooth	17	90	670	$20	$41.4K
D0120	Periodic oral evaluation - established patient	66	210	930	$10	$38.1K
D2391	Resin‑based composite – one surface, posterior	46	110	230	$40	$28.7K
D0140	Limited oral evaluation – problem focused	16	130	410	$10	$18.3K
D0274	N/A	37	170	390	$10	$18.1K

Showing 1–10 of 17

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Thundermist Health Center	RI	Dental Clinic/Center	$0	$18.6M
Thundermist Health Center	RI	Federally Qualified Health Center (FQHC)	$0	$15.8M
Eric Prosseda	RI	General Practice Dentistry	$0	$5.2M
Maulik Kotdawala	RI	General Practice Dentistry	$0	$4.6M
Danielle Murphy	RI	Dentist	$0	$4.2M
Beata Nelken	RI	Pediatrics Physician	$0	$4.2M
Meera Sharma	RI	General Practice Dentistry	$0	$1.8M
Joey Napolitano	RI	Public Health Dentistry	$0	$1.7M
Yamila Cos	RI	General Practice Dentistry	$0	$1.7M
Laura Flynn	RI	Dentist	$0	$1.6M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Care Alliance	RI	Community/Behavioral Health Agency	$0	$46.4M
Prime Healthcare Services Landmark LLC	RI	General Acute Care Hospital	$0	$26.2M
R.i.s.a.t., LLC	RI	Methadone Clinic	$306K	$21.6M
Action Based Enterprises	RI	Developmentally Disabled Services Day Training Agency	$0	$15.2M
Woonsocket Education Department	RI	Local Education Agency (LEA)	$0	$9.5M
Woonsocket Housing Authority	RI	Assisted Living Facility	$0	$7M
Tmed Holdings, Inc.	RI	Durable Medical Equipment & Medical Supplies	$0	$3.8M
Maha Alamad	RI	General Practice Dentistry	$0	$3.5M
Home Care Services Of Ri, Inc.	RI	Home Health Agency	$0	$3.2M
Woonsocket Education Department	RI	Local Education Agency (LEA)	$0	$3M

Abhishek Kapoor — Billing Profile & Reimbursement Data

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Abhishek Kapoor — 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

Nearby Providers

Frequently Asked Questions

References