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

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

Stowe Family Dentistry PC (NPI 1245275122)

Field	Value
Entity Type	Organization
Organization	Stowe Family Dentistry PC
Address	1593 Pucker St
City	Stowe
State	VT
ZIP	05672
Taxonomy	General Practice Dentistry
NPI Enumerated	June 17, 2006

Payer Source	Total Paid
Medicaid	$230.2K
Medicare	$0

Medicaid: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	3,350	$20	$67K
D0120	Periodic oral evaluation - established patient	2,230	$30	$58K
D1120	Prophylaxis–child	1,580	$40	$56.9K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	680	$50	$33.9K
D0274	N/A	250	$30	$8.5K
D0330	N/A	40	$50	$2.2K
D0150	Comprehensive oral evaluation – new or established patient	40	$40	$1.7K
D0340	N/A	10	$60	$770
D0350	N/A	20	$30	$740
D0470	N/A	10	$50	$550

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Vermont Distribution

Stowe Family Dentistry PC — 0 of 10 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Vermont

Full comparison — all codes billed, vs. Vermont median

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	68	150	540	$50	$73.5K
D1120	Prophylaxis–child	28	110	220	$40	$59.2K
D0120	Periodic oral evaluation - established patient	34	160	720	$30	$57.8K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	23	120	500	$20	$53.5K
D0330	N/A	52	70	330	$60	$43.8K
D0150	Comprehensive oral evaluation – new or established patient	64	80	330	$40	$38.9K
D0340	N/A	5	10	100	$70	$34.8K
D0274	N/A	53	100	250	$30	$31.1K
D0470	N/A	10	10	100	$50	$23.1K
D0350	N/A	7	10	190	$30	$18K

Nearby Providers

Other providers in the same ZIP code as Stowe Family Dentistry PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lamoille Health Partners, Inc	VT	Federally Qualified Health Center (FQHC)	$0	$4.9M
Stowe Natural Family Wellness, PLLC	VT	Naturopath	$0	$638.8K
Integral Wellness, LLC	VT	Mental Health Counselor	$0	$553K
Sean Ryan	VT	Clinical Social Worker	$0	$406.5K
Bps Health LLC	VT	Psychologist	$0	$316.9K
Myeyedr Optometry Of Vermont LLC	VT	Optometrist	$0	$239.3K
James Charkalis	VT	Chiropractor	$10.6K	$146K
Jan Johnson	VT	Physical Therapist	$98.8K	$0
Stowe Therapeutic Solutions, LLC	VT	Community/Behavioral Health Agency	$0	$63.1K
David Bisbee	VT	Family Medicine Physician	$59.5K	$0

Stowe Family Dentistry PC — Billing Profile & Reimbursement Data

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Stowe Family Dentistry PC — Billing Profile & Reimbursement Data

Sign up for Stowe Family Dentistry PC — 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