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

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

American Dental Associates (NPI 1245484310)

Field	Value
Entity Type	Organization
Organization	American Dental Associates
Address	179 Main St
City	Waterville
State	ME
ZIP	04901
Taxonomy	General Practice Dentistry
NPI Enumerated	November 16, 2008

Payer Source	Total Paid
Medicaid	$3.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

33 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2392	Post 2 surface resin‑based composite	4,980	$110	$523K
D3330	N/A	480	$940	$452.1K
D2393	Resin-based composite, three surfaces, posterior	2,810	$130	$371.3K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	3,760	$100	$365K
D2391	Resin‑based composite – one surface, posterior	3,230	$80	$268.1K
D0330	N/A	3,940	$60	$244.5K
D0140	Limited oral evaluation – problem focused	4,330	$40	$155.9K
D2950	N/A	1,140	$130	$146.5K
D3320	N/A	190	$700	$130.2K
D2394	N/A	830	$150	$125.3K

Showing 1–10 of 33

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Maine Distribution

American Dental Associates — 10 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maine

Full comparison — all codes billed, vs. Maine median

33 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	15	70	630	$100	$235.5K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…	19	30	280	$120	$143.2K
D3320	N/A	1	10	190	$700	$130.2K
D2740	N/A	7	10	110	$540	$119.5K
D3330	N/A	1	10	20	$930	$116.6K
D2392	Post 2 surface resin‑based composite	5	80	260	$80	$88.2K
D1351	Sealant - per tooth	44	80	1,040	$20	$87.6K
D1120	Prophylaxis–child	31	160	500	$30	$56.2K
D0120	Periodic oral evaluation - established patient	23	140	480	$20	$46.8K
D2391	Resin‑based composite – one surface, posterior	4	70	230	$60	$43.2K

Showing 1–10 of 33

Nearby Providers

Other providers in the same ZIP code as American Dental Associates, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kennebec Valley Mental Health Center	ME	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$143M
Jmpb Inc.	ME	Community/Behavioral Health Agency	$0	$40.2M
Discovery House Of Central Maine, Inc.	ME	Methadone Clinic	$398.8K	$24.5M
Care & Comfort	ME	Mental Health Counselor	$0	$24.8M
Eastern Maine Healthcare Systems Inland Hospital	ME	General Acute Care Hospital	$0	$18.3M
Blue Sky Counseling P.C.	ME	Community/Behavioral Health Agency	$0	$11.6M
Maine General Community Care	ME	Case Management Agency	$0	$11.4M
Delta Ambulance Corp.	ME	Land Ambulance	$985.5K	$9.8M
Paramount Behavioral Services, Inc	ME	Community/Behavioral Health Agency	$0	$9.3M
Waters Edge Therapy, Inc	ME	Community/Behavioral Health Agency	$0	$5.2M

American Dental Associates — Billing Profile & Reimbursement Data

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American Dental Associates — 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