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

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

Capron Family Dental PC (NPI 1255784211)

Field	Value
Entity Type	Organization
Organization	Capron Family Dental PC
Address	620 S 1st St
City	Hamilton
State	MT
ZIP	59840
Taxonomy	General Practice Dentistry
NPI Enumerated	July 14, 2016

Payer Source	Total Paid
Medicaid	$1.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

27 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2392	Post 2 surface resin‑based composite	2,520	$130	$337.5K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	3,870	$50	$193.7K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	7,020	$20	$140.4K
D4910	Periodontal maintenance procedures	2,150	$70	$139.6K
D0120	Periodic oral evaluation - established patient	5,570	$20	$133.7K
D0274	N/A	2,540	$30	$86.2K
D2751	N/A	150	$510	$76.9K
D2391	Resin‑based composite – one surface, posterior	740	$70	$50K
D1120	Prophylaxis–child	1,410	$40	$49.4K
D0140	Limited oral evaluation – problem focused	1,400	$30	$46.1K

Showing 1–10 of 27

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Montana Distribution

Capron Family Dental PC — 1 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Montana

Full comparison — all codes billed, vs. Montana median

27 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2392	Post 2 surface resin‑based composite	23	130	310	$120	$173.4K
D1310	N/A	41	50	520	$40	$119.6K
D1120	Prophylaxis–child	40	180	200	$30	$88.4K
D2751	N/A	5	20	90	$480	$67.7K
D1330	N/A	49	60	340	$20	$65.6K
D5214	N/A	8	10	20	$610	$61.5K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	42	80	290	$50	$59.8K
D4341	Periodontal scaling and root planing - four or more teeth per quadrant	14	30	100	$140	$59.2K
D9230	N/A	39	50	250	$30	$55.8K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	21	260	340	$20	$54.4K

Showing 1–10 of 27

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ravalli Services Corporation	MT	Developmentally Disabled Services Day Training Agency	$0	$19.6M
Marcus Daly Memorial Hospital Corporation	MT	Critical Access Hospital	$0	$4.4M
Beyer Big Sky Optical, Inc	MT	Optometrist	$0	$1.4M
Bitterroot Family Medicine, P.C.	MT	Primary Care Clinic/Center	$0	$1.4M
Norco, Inc	MT	Durable Medical Equipment & Medical Supplies	$0	$859.7K
Hamilton Physical Therapy PC	MT	Physical Therapy Clinic/Center	$0	$723.6K
Therapeutic Mentoring PC	MT	Clinical Social Worker	$0	$637.7K
Teresa Maija	MT	Professional Counselor	$0	$492.2K
Health Care Providers Inc.	MT	Oxygen Equipment & Supplies (DME)	$0	$454.9K
Hamilton School District #3	MT	Local Education Agency (LEA)	$0	$391.9K

Capron Family Dental PC — Billing Profile & Reimbursement Data

Sign up for Capron Family Dental PC — Billing Profile & Reimbursement Data policy alerts

Capron Family Dental PC — Billing Profile & Reimbursement Data

Sign up for Capron Family Dental 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