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.

Sheila Brijade (NPI 1194810143)

Field	Value
Entity Type	Individual
Organization	Sheila Brijade
Address	123 School St Ste 1
City	Pawtucket
State	RI
ZIP	02860
Taxonomy	Pediatric Dentistry
NPI Enumerated	October 4, 2006

Payer Source	Total Paid
Medicaid	$7.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

28 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1120	Prophylaxis–child	32,450	$40	$1.4M
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	33,040	$40	$1.2M
D2392	Post 2 surface resin‑based composite	8,760	$110	$937.5K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	5,980	$90	$508.6K
D0120	Periodic oral evaluation - established patient	24,490	$20	$489.8K
D2930	N/A	3,590	$130	$480.4K
D2391	Resin‑based composite – one surface, posterior	4,400	$80	$338.5K
D9230	N/A	10,950	$30	$328.5K
D1351	Sealant - per tooth	9,890	$30	$326.4K
D0272	N/A	10,850	$20	$260.3K

Showing 1–10 of 28

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

Sheila Brijade — 18 of 25 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

28 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D1120	Prophylaxis–child	2	160	710	$30	$91.2K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	2	150	800	$30	$81.3K
D9920	N/A	2	20	150	$50	$71.9K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	5	100	510	$50	$65.4K
D2930	N/A	1	30	120	$130	$62.2K
D2392	Post 2 surface resin‑based composite	1	110	240	$60	$47.6K
D3220	N/A	2	10	30	$270	$44.4K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	88	180	490	$20	$42.3K
D1351	Sealant - per tooth	5	90	670	$20	$41.4K
D0120	Periodic oral evaluation - established patient	3	210	930	$10	$38.1K

Showing 1–10 of 28

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Gateway Healthcare Inc	RI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$122.7M
Nursing Placement, Inc.	RI	Home Health Agency	$0	$63.4M
United Cerebral Palsy Of Rhode Island, Inc.	RI	Developmentally Disabled Services Day Training Agency	$0	$21.3M
Lifetime Financial Management Inc.	RI	Home Health Agency	$0	$20.9M
Addiction Recovery Institute	RI	Community/Behavioral Health Agency	$180.1K	$15.4M
Blackstone Valley Community Health Care	RI	Federally Qualified Health Center (FQHC)	$0	$14.2M
Blackstone Valley Community Health Care, Inc.	RI	Federally Qualified Health Center (FQHC)	$0	$12.4M
United Cerebral Palsy Of Rhode Island, Inc.	RI	Developmentally Disabled Services Day Training Agency	$0	$9.6M
Dr. Day Care, Inc.	RI	Counselor	$0	$8.7M
Staff Solutions, Inc.	RI	Home Health Agency	$0	$6.4M

Sheila Brijade — Billing Profile & Reimbursement Data

Sign up for Sheila Brijade — Billing Profile & Reimbursement Data policy alerts

Sheila Brijade — Billing Profile & Reimbursement Data

Sign up for Sheila Brijade — 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