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

Why is the Medicaid comparison limited to North Dakota 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. North Dakota (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.

D. Michael Goebel D.d.s., PC (NPI 1215107248)

Field	Value
Entity Type	Organization
Organization	D. Michael Goebel D.d.s., PC
Address	407 E Avenue C
City	Bismarck
State	ND
ZIP	58501
Taxonomy	Pediatric Dentistry
NPI Enumerated	March 5, 2008

Payer Source	Total Paid
Medicaid	$5.8M
Medicare	$0

Key Findings

This provider is effectively single-payer in the observed data: there is no Medicare billing on file while Medicaid revenue totals $5.8M, indicating the practice’s billed activity in the dataset is concentrated entirely in the Medicaid program. Analysts should treat Medicare-level comparisons as inapplicable for this entity given the absence of Medicare claims.

The provider has an established presence in the dataset, with the NPI enumerated on 2008-03-05 (~18 years ago), suggesting long-term operation in the local market and a sustained Medicaid billing relationship over many years.

Revenue is heavily concentrated in a small group of procedures: the top three Medicaid codes (D2392, D1120, D2391) together account for 43.9% of total Medicaid revenue. Individually these codes contribute $1.1M (D2392, 19.0%), $739.8K (D1120, 12.7%), and $710.7K (D2391, 12.2%), making them the primary revenue drivers to prioritize in any financial or utilization analysis.

The code mix indicates a high-volume pediatric preventive and restorative operation: D1120 (Prophylaxis–child), D0120 (Periodic oral evaluation–established), D1206 (Topical Fluoride Treatment), and D1351 (Sealant) are all among the top codes by claims, while D2392 and D2391 show heavy restorative composite activity. This combination of preventive (high-claim prophylaxis and fluoride) and frequent posterior composite restorations is consistent with a practice focused on routine and restorative pediatric dental care.

The provider is a dominant statewide performer on multiple codes: several top codes rank at or near the top of in-state lists, for example D2392 ranks #1 of 35 providers (100th percentile; extreme outlier), D2391 ranks #1 of 25 providers (100th percentile; extreme outlier), and D0120 ranks #1 of 116 providers (100th percentile; extreme outlier). These rank and percentile signals identify the practice as a major Medicaid volume leader in North Dakota for numerous pediatric dentistry services and an outlier compared with typical state volumes.

Despite the pediatric taxonomy, the billing profile includes high volumes of both child and adult prophylaxis, with D1120 at 18.5K claims ($739.8K) and D1110 at 4.7K claims ($263.8K); D1120 ranks #2 of 79 providers (99th percentile) while D1110 ranks #1 of 81 providers (100th percentile). This pattern suggests the provider’s Medicaid caseload includes substantial preventive visits across age groups or mixed coding patterns that produce significant volumes in both child- and adult-type prophylaxis codes.

The practice’s service breadth extends beyond preventive and simple restorations: notable volumes and revenue appear for extractions and higher-unit procedures, e.g., D7140 with 4.1K claims and $330.1K revenue (5.7% of Medicaid revenue) ranking #1 of 21 providers (100th percentile; notably above typical state volume), and D2930 with $179.6K revenue. These entries indicate the office manages a range of procedures from extractions to more complex restorations or operative services within its Medicaid population.

Financially, the payer mix shows a mix of very high-volume, low-average-paid services and lower-volume, higher-average-paid procedures: examples include high-claim, lower-unit-value items such as D0120 (22.7K claims, $29 avg paid/claim) and D1206 (17.9K claims, $25 avg paid/claim) alongside higher avg paid/claim codes like D9420 ($181 avg paid/claim, $245.6K revenue) and D2930 ($155 avg paid/claim, $179.6K revenue). This combination drives substantial total Medicaid revenue ($5.8M) through both scale in preventive visits and select higher-reimbursement treatments.

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	9,730	$110	$1.1M
D1120	Prophylaxis–child	18,500	$40	$739.8K
D2391	Resin‑based composite – one surface, posterior	7,640	$90	$710.7K
D0120	Periodic oral evaluation - established patient	22,660	$30	$657.1K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	17,890	$30	$447.2K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	4,080	$80	$330.1K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	4,710	$60	$263.8K
D0272	N/A	9,040	$30	$253K
D9420	N/A	1,360	$180	$245.6K
D9230	N/A	7,200	$30	$230.3K

Showing 1–10 of 20

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. North Dakota Distribution

D. Michael Goebel D.d.s., PC — 13 of 20 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Dakota

Full comparison — all codes billed, vs. North Dakota median

20 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	6	10	1,170	$150	$264.2K
D2392	Post 2 surface resin‑based composite	1	40	130	$110	$83.4K
D9420	N/A	1	10	120	$200	$77.6K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	1	20	300	$90	$76.2K
D2391	Resin‑based composite – one surface, posterior	1	30	100	$90	$63.3K
D1120	Prophylaxis–child	2	80	360	$40	$48.3K
D0120	Periodic oral evaluation - established patient	1	120	350	$40	$46.8K
D1351	Sealant - per tooth	3	30	470	$20	$46.6K
D0140	Limited oral evaluation – problem focused	17	40	100	$70	$44K
D3220	N/A	2	10	220	$100	$40.1K

Showing 1–10 of 20

Nearby Providers

Other providers in the same ZIP code as D. Michael Goebel D.d.s., PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Enable, Inc.	ND	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$40.8M
Heartview Foundation	ND	Substance Use Disorder Rehabilitation Clinic/Center	$0	$13.6M
Sanford Bismarck	ND	General Acute Care Hospital	$0	$12.5M
Bismarck Public Schools Early Intervention	ND	Early Intervention Provider Agency	$0	$12M
West Central Behavioral Health Clinic	ND	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$6.2M
Poppy's Promise LLC	ND	Community/Behavioral Health Agency	$0	$5.6M
Sanford Bismarck	ND	Clinical Medical Laboratory	$726.9K	$4.3M
St. Alexius Medical Center	ND	Specialist	$0	$3.6M
Lasting Love Homecare	ND	In Home Supportive Care Agency	$0	$3.6M
St. Alexius Medical Center	ND	General Acute Care Hospital	$0	$3.5M

D. Michael Goebel D.d.s., PC — Billing Profile & Reimbursement Data

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D. Michael Goebel D.d.s., PC — 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

Nearby Providers

Frequently Asked Questions

References