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

Why is the Medicaid comparison limited to Delaware 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. Delaware (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 State Dental P.A. (NPI 1235261322)

Field	Value
Entity Type	Organization
Organization	First State Dental P.A.
Address	1702 Lovering Ave
City	Wilmington
State	DE
ZIP	19806
Taxonomy	General Practice Dentistry
NPI Enumerated	March 12, 2007

Payer Source	Total Paid
Medicaid	$172.8K
Medicare	$0

Medicaid: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2392	Post 2 surface resin‑based composite	260	$210	$53.4K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	540	$70	$35.2K
D0150	Comprehensive oral evaluation – new or established patient	440	$60	$25.3K
D0210	Intraoral - complete series of radiographic images	250	$70	$17.7K
D0120	Periodic oral evaluation - established patient	390	$40	$14.7K
D2393	Resin-based composite, three surfaces, posterior	50	$290	$14.1K
D0274	N/A	100	$50	$4.9K
D0220	Intraoral - periapical first radiographic image	210	$20	$4.2K
D0230	Intraoral - periapical each additional radiographic image	210	$20	$3.5K
D0602	N/A	80	$0	$0

Showing 1–10 of 11

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Delaware Distribution

First State Dental P.A. — 0 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Delaware

Full comparison — all codes billed, vs. Delaware median

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2392	Post 2 surface resin‑based composite	55	90	490	$220	$366.3K
D2393	Resin-based composite, three surfaces, posterior	31	40	260	$270	$226.1K
D0120	Periodic oral evaluation - established patient	99	160	800	$40	$110.5K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	71	160	330	$60	$82.3K
D0274	N/A	90	130	330	$50	$57.4K
D0150	Comprehensive oral evaluation – new or established patient	58	150	260	$60	$53.2K
D0230	Intraoral - periapical each additional radiographic image	58	90	480	$20	$52.9K
D0220	Intraoral - periapical first radiographic image	72	110	410	$20	$46.6K
D0210	Intraoral - complete series of radiographic images	25	70	150	$70	$26.2K
D0602	N/A	74	90	460	$1	$20

Showing 1–10 of 11

Nearby Providers

Other providers in the same ZIP code as First State Dental P.A., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nancy Pancko	DE	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$10M
Ingleside Homes, Inc	DE	Assisted Living Facility	$0	$2.5M
Paula Ko	DE	Ophthalmology Physician	$1.7M	$0
Liberty Dialysis - Wilmington LLC	DE	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.6M
Eye Physicians & Surgeons, PA	DE	Ophthalmology Physician	$0	$1.6M
Brandywine Medical Associates, Inc.	DE	Family Medicine Physician	$0	$1.3M
Brian Toussaint	DE	Ophthalmology Physician	$1.2M	$0
Ingleside Homes, Inc	DE	Homemaker	$0	$1.2M
Rmb Group, LLC	DE	In Home Supportive Care Agency	$0	$1.1M
Philip Schwartz	DE	Rheumatology Physician	$937.1K	$0

First State Dental P.A. — Billing Profile & Reimbursement Data

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First State Dental P.A. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References