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.

William Chan (NPI 1194887661)

Field	Value
Entity Type	Individual
Organization	William Chan
Address	2359 Mendon Rd
City	Cumberland
State	RI
ZIP	02864
Taxonomy	Pediatric Dentistry
NPI Enumerated	December 14, 2006

Payer Source	Total Paid
Medicaid	$1.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1120	Prophylaxis–child	8,300	$40	$348.8K
D1208	Topical application of fluoride - excluding varnish	7,690	$30	$215.4K
D0120	Periodic oral evaluation - established patient	9,290	$20	$195.1K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	2,070	$60	$126.4K
D1351	Sealant - per tooth	3,360	$30	$110.8K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	2,070	$30	$64.2K
D0272	N/A	2,450	$20	$58.7K
D2392	Post 2 surface resin‑based composite	530	$110	$57K
D0330	N/A	910	$60	$54.3K
D0274	N/A	1,520	$40	$53.3K

Showing 1–10 of 18

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

William Chan — 1 of 18 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

18 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D1120	Prophylaxis–child	13	160	710	$30	$91.2K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	53	150	800	$30	$81.3K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	51	100	510	$50	$65.4K
D2392	Post 2 surface resin‑based composite	38	110	240	$60	$47.6K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	45	180	490	$20	$42.3K
D1351	Sealant - per tooth	18	90	670	$20	$41.4K
D0120	Periodic oral evaluation - established patient	14	210	930	$10	$38.1K
D1208	Topical application of fluoride - excluding varnish	3	100	290	$20	$32.1K
D0330	N/A	23	100	400	$40	$30.7K
D2391	Resin‑based composite – one surface, posterior	53	110	230	$40	$28.7K

Showing 1–10 of 18

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Denise Goodman	RI	Pediatric Dentistry	$0	$1.3M
Jennifer Stevens	GA	Dentist	$0	$755.8K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ocean State Nursing Services, Inc	RI	Home Health Agency	$0	$21.7M
Michael Klufas	RI	Geriatric Medicine (Internal Medicine) Physician	$68.4K	$6.1M
Autumn Villa Inc.	RI	Assisted Living Facility	$0	$5.5M
Open Mri Of New England, Inc.	RI	Diagnostic Radiology Physician	$0	$2.1M
Pulmonary And Sleep Office Of New England, PC	RI	Pulmonary Disease Physician	$0	$1.9M
Cumberland Public Schools	RI	Local Education Agency (LEA)	$0	$1.4M
Lincare Inc.	RI	Durable Medical Equipment & Medical Supplies	$0	$1.4M
Prima Inc	RI	Pediatrics Physician	$0	$1M
Maria Younes	RI	Neurology with Special Qualifications in Child Neurology Physician	$4.7K	$843.6K
Vmd Primary Providers Of Rhode Island PC	RI	Family Medicine Physician	$0	$780.7K

William Chan — Billing Profile & Reimbursement Data

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William Chan — 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