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

Why is the Medicaid comparison limited to Wisconsin 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. Wisconsin (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.

First Impressions Sc (NPI 1205804663)

Field	Value
Entity Type	Organization
Organization	First Impressions Sc
Address	413 N 17th Ave
City	Wausau
State	WI
ZIP	54401
Taxonomy	Pediatric Dentistry
NPI Enumerated	March 10, 2006

Payer Source	Total Paid
Medicaid	$17.3M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-focused pediatric dental operation: there is no Medicare billing on file and its lifetime Medicaid revenue totals $17.3M, indicating a single-payer (Medicaid) footprint for the claims we observe. The NPI was enumerated on 2006-03-10 (~20 years ago), so the provider has long tenure in the market, which supports sustained, high-volume Medicaid activity rather than a recent entrant effect.

Revenue is highly concentrated in a few procedure codes: the precomputed top three Medicaid codes (D2930, D1120, D1206) together account for 48.1% of this provider's total Medicaid revenue. The largest single code, D2930, represents $4M revenue (23.3% of total Medicaid revenue) while D1120 accounts for $2.6M (15.0%) and D1206 $1.7M (9.8%), signaling dependence on a narrow set of high-volume pediatric services.

The code mix points to a practice model centered on preventive pediatric dentistry and high-volume routine care: D1120 (Prophylaxis–child) has 66.7K claims and $2.6M revenue, D1206 (Topical Fluoride Treatment) has 73.7K claims and $1.7M revenue, and D1351 (Sealant - per tooth) contributes $1.2M. Multiple periodic and comprehensive evaluation codes (D0120 42.2K claims, $1.2M; D0150 7.7K claims, $368.1K) further support the interpretation that this provider delivers frequent preventive visits and age-targeted maintenance care.

The provider operates at extreme statewide scale for several pediatric codes. D1120 ranks #1 of 519 providers in-state (100th percentile; extreme outlier) and D2930 ranks #2 of 75 providers (99th percentile; extreme outlier), while D1206 ranks #4 of 543 (99th percentile; extreme outlier). Additional codes with top-in-state ranks include D9230 (#1 of 118, 100th percentile), D0160 (#1 of 20, 100th percentile) and D0272 (#1 of 260, 100th percentile), indicating consistent dominance across multiple procedure lines relative to in-state peers.

The payer reimbursement profile shows reliance on very high claim volumes with relatively low average paid per claim for preventive items, a pattern common in Medicaid pediatric dentistry. For example, D1120 has a $39 avg paid/claim across 66.7K claims and D1206 has a $23 avg paid/claim across 73.7K claims, demonstrating a throughput-driven revenue model where many low-fee services cumulatively produce large revenue.

Although preventive codes dominate revenue, the provider also bills a meaningful volume of restorative and surgical procedures, indicating they deliver both preventive and operative care on-site. Restorative codes such as D2392 (9.5K claims, $1M revenue, 6.0%) and D2391 (6.4K claims, $541.1K revenue, 3.1%), plus extractions coded as D7140 (6.6K claims, $578.7K revenue, 3.3%), show capacity for fillings and extractions beyond routine prophylaxis and fluoride.

Several codes with large claim counts combine to create an unusual service footprint relative to peers: D0272 (32.7K claims, $849.2K revenue) and D9230 (25.6K claims, $1.2M revenue) are each ranked at or near the top in-state (both 100th percentile and/or extreme outlier), illustrating that this provider is not only high-volume for routine preventive care but also for other specialty-coded services where available descriptions are limited in the file. These concentrated volumes across multiple code families mark the provider as a major statewide player in pediatric Medicaid dental delivery.

Not all billed codes are unusually large: a number of mid- and low-revenue codes (for example, D7140, D2391, D0150, D0210) fall in more typical percentile ranges (around the 80th–95th percentiles) or are described as 'typical, unremarkable volume' in-state. This mix of extreme outlier volumes for core pediatric preventive codes alongside more typical volumes for some operative codes suggests a specialized high-throughput preventive practice that also performs routine restorative work when clinically indicated.

Medicaid: Complete Services Breakdown

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

26 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2930	N/A	23,600	$170	$4M
D1120	Prophylaxis–child	66,670	$40	$2.6M
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	73,680	$20	$1.7M
D0120	Periodic oral evaluation - established patient	42,190	$30	$1.2M
D1351	Sealant - per tooth	39,300	$30	$1.2M
D9230	N/A	25,560	$50	$1.2M
D0160	N/A	12,250	$90	$1M
D2392	Post 2 surface resin‑based composite	9,460	$110	$1M
D0272	N/A	32,660	$30	$849.2K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	6,580	$90	$578.7K

Showing 1–10 of 26

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Wisconsin Distribution

First Impressions Sc — 10 of 24 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wisconsin

Full comparison — all codes billed, vs. Wisconsin median

26 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	2	80	410	$150	$427.7K
D2392	Post 2 surface resin‑based composite	10	270	510	$60	$123.3K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	21	220	430	$50	$111.4K
D1351	Sealant - per tooth	6	340	1,020	$20	$90.2K
D0160	N/A	1	20	290	$60	$85K
D2391	Resin‑based composite – one surface, posterior	18	240	300	$50	$71.8K
D1120	Prophylaxis–child	1	520	460	$30	$62.6K
D9420	N/A	6	40	170	$200	$62.2K
D0210	Intraoral - complete series of radiographic images	25	270	360	$40	$60K
D0120	Periodic oral evaluation - established patient	4	500	480	$20	$56K

Showing 1–10 of 26

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kirk Anderton	UT	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$798.4K

Nearby Providers

Other providers in the same ZIP code as First Impressions Sc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Aspirus Wausau Hospital, Inc.	WI	General Acute Care Hospital	$0	$16.3M
Healthfirst Network Inc. F/k/a Family Planning Health Services Inc.	WI	Non-Surgical Family Planning Clinic/Center	$0	$10.2M
Aspirus Wausau Hospital, Inc.	WI	Land Ambulance	$4M	$6.1M
Aspirus Wausau Hospital, Inc.	WI	Clinical Medical Laboratory	$0	$6.9M
Aspirus Vna Home Health Inc	WI	Inpatient Hospice	$0	$3.2M
Northwest Counseling & Guidance Clinic	WI	Adolescent and Children Mental Health Clinic/Center	$0	$3M
Aspirus Wausau Hospital, Inc	WI	Emergency Medicine Physician	$0	$2.7M
Aspirus Vna Home Health Inc.	WI	Durable Medical Equipment & Medical Supplies	$0	$2.4M
Total Renal Care Inc	WI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.4M
Mchs Hospitals Inc	WI	Internal Medicine Physician	$122.8K	$1.8M

First Impressions Sc — Billing Profile & Reimbursement Data

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First Impressions Sc — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References