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.

Dover Family And Cosmetic Dentistry (NPI 1184855520)

Field	Value
Entity Type	Organization
Organization	Dover Family And Cosmetic Dentistry
Address	1084 S State St
City	Dover
State	DE
ZIP	19901
Taxonomy	Dental Clinic/Center
NPI Enumerated	August 3, 2009

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.

20 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2392	Post 2 surface resin‑based composite	2,140	$190	$408.7K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	4,440	$60	$257.5K
D0120	Periodic oral evaluation - established patient	5,840	$40	$210.2K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	6,780	$30	$203.4K
D1120	Prophylaxis–child	3,540	$50	$180.6K
D2393	Resin-based composite, three surfaces, posterior	620	$240	$150.1K
D0274	N/A	2,290	$50	$103.1K
D2391	Resin‑based composite – one surface, posterior	470	$150	$71.1K
D0330	N/A	810	$70	$59.1K
D0150	Comprehensive oral evaluation – new or established patient	940	$50	$43.4K

Showing 1–10 of 20

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

Dover Family And Cosmetic Dentistry — 0 of 15 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

20 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2392	Post 2 surface resin‑based composite	21	90	490	$220	$366.3K
D2393	Resin-based composite, three surfaces, posterior	14	40	260	$270	$226.1K
D2391	Resin‑based composite – one surface, posterior	30	70	320	$180	$192K
D1120	Prophylaxis–child	27	120	960	$50	$163.3K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	49	60	270	$140	$137K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	23	130	1,220	$30	$116.9K
D0120	Periodic oral evaluation - established patient	25	160	800	$40	$110.5K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	14	160	330	$60	$82.3K
D0272	N/A	27	80	430	$40	$71.6K
D0274	N/A	23	130	330	$50	$57.4K

Showing 1–10 of 20

Nearby Providers

Other providers in the same ZIP code as Dover Family And Cosmetic Dentistry, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bayhealth Medical Center, Inc.	DE	General Acute Care Hospital	$0	$79.3M
Bayhealth Emergency Physicians LLC	DE	Emergency Medicine Physician	$0	$16.7M
Ahl And O'connor Orthodontics, LLC	DE	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$12.5M
Bayhealth Medical Center, Inc	DE	Colon & Rectal Surgery Physician	$0	$12.4M
State Of Delaware	DE	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$8.2M
The Children's Secret Garden	DE	Medically Fragile Infants and Children Day Care	$0	$8.1M
Apogee Medical Group, Delaware, Inc	DE	Internal Medicine Physician	$0	$7.9M
First State Oral And Maxillofacial Surgery Corp	DE	Oral and Maxillofacial Surgery (Dentist)	$0	$5M
Jamie Ahl	DE	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$4.9M
Kent Diagnostic Radiology Associates PA	DE	Diagnostic Radiology Physician	$0	$4.6M

Dover Family And Cosmetic Dentistry — Billing Profile & Reimbursement Data

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Dover Family And Cosmetic Dentistry — 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