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

Why is the Medicaid comparison limited to West Virginia 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. West Virginia (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.

Lawson Family Dentistry (NPI 1184874075)

Field	Value
Entity Type	Organization
Organization	Lawson Family Dentistry
Address	102 Market St
City	Peterstown
State	WV
ZIP	24963
Taxonomy	General Practice Dentistry
NPI Enumerated	September 26, 2008

Payer Source	Total Paid
Medicaid	$1.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1120	Prophylaxis–child	5,910	$40	$230.4K
D1351	Sealant - per tooth	6,960	$30	$215.7K
D2392	Post 2 surface resin‑based composite	1,820	$120	$210.5K
D2391	Resin‑based composite – one surface, posterior	1,820	$100	$174.5K
D1208	Topical application of fluoride - excluding varnish	7,680	$20	$153.7K
D0120	Periodic oral evaluation - established patient	6,310	$20	$151.4K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	2,770	$50	$147K
D0330	N/A	1,250	$70	$82.6K
D0274	N/A	2,030	$40	$73.1K
D0150	Comprehensive oral evaluation – new or established patient	2,040	$40	$71.3K

Showing 1–10 of 14

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. West Virginia Distribution

Lawson Family Dentistry — 2 of 14 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — West Virginia

Full comparison — all codes billed, vs. West Virginia median

14 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2392	Post 2 surface resin‑based composite	21	130	170	$100	$93.1K
D1351	Sealant - per tooth	17	100	490	$30	$89.6K
D2391	Resin‑based composite – one surface, posterior	18	120	220	$80	$70.7K
D1120	Prophylaxis–child	11	270	290	$30	$49.1K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	19	260	300	$50	$38.5K
D0330	N/A	43	230	210	$50	$37.7K
D0120	Periodic oral evaluation - established patient	15	310	430	$20	$35.8K
D0140	Limited oral evaluation – problem focused	119	220	270	$30	$34.5K
D1208	Topical application of fluoride - excluding varnish	16	240	330	$20	$34.2K
D2330	Resin-based composite - one surface, anterior	5	20	70	$70	$21K

Showing 1–10 of 14

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Peterstown Volunteer Fire And Rescue Squad Inc	WV	Ambulance	$104.2K	$251.6K
Stephen Miller	WV	General Practice Physician	$90K	$0
Jayne Canterbury	WV	Family Medicine Physician	$8.7K	$7.5K

Lawson Family Dentistry — Billing Profile & Reimbursement Data

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Lawson Family Dentistry — Billing Profile & Reimbursement Data

Sign up for Lawson Family Dentistry — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References