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

Why is the Medicaid comparison limited to Unspecified Location 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. Unspecified Location (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.

Ann Vo (NPI 1265631659)

Field	Value
Entity Type	Individual
Organization	Ann Vo
Address	23 Tillingham Keep
City	Toronto
State	ZZ (Unspecified Location)
ZIP	M3H6A
Taxonomy	General Practice Dentistry
NPI Enumerated	July 16, 2007

Payer Source	Total Paid
Medicaid	$31.1K
Medicare	$0

Key Findings

This provider has no Medicare billing on file and $31.1K in lifetime Medicaid revenue, making Medicaid the sole payer reflected in the claims data. The absence of Medicare activity indicates an effectively single-payer profile in the available dataset rather than a mixed Medicare/Medicaid practice mix.

Revenue is concentrated: the top three Medicaid codes by revenue — D0120, D2391, and D1351 — together account for 44.4% of this provider's total Medicaid revenue. Those top codes individually generate $5.1K (D0120, 16.3%), $4.4K (D2391, 14.2%), and $4.3K (D1351, 13.9%), signaling reliance on a small set of high-contribution services.

The code mix points to a general dentistry practice with a strong preventive and basic restorative focus: D0120 (periodic oral evaluation), D1351 (sealant - per tooth), D1208 (topical fluoride), and child prophylaxis D1120 are prominent alongside composite restorations D2391 and D2392. The prominence of sealants and pediatric prophylaxis (D1351 and D1120) suggests a meaningful portion of care is preventive and likely oriented toward younger patients.

Competitive standing is mixed but includes clear local leadership for specific codes: the provider ranks #1 of 5 in-state for D0120 and is described as notably above typical state volume for that code, indicating regional dominance for periodic evaluations. Several other codes (D2391, D1351, D2392, D0220, D0230, D0274, D1110, D1208) also show rank #1 status, though some of those entries note "no state peer volume comparison available" or characterize volume as "typical, unremarkable," implying limited or single-reporting peer sets for several procedures.

Service-level reimbursement varies by code: restorative codes show higher average payments per claim (D2392 at $91 avg paid/claim and D2391 at $75 avg paid/claim) while routine evaluations and preventive services are paid at lower per-claim rates (D0120 and D1351 at $28 avg paid/claim each, D1208 at $14 avg paid/claim). This mix means a modest number of higher-paid restorative claims materially contribute to overall Medicaid revenue despite their lower claim counts.

Several codes reported activity with no paid revenue recorded: D0603 and D0602 each have claims (36 and 30 respectively) but $0 avg paid/claim and $0 revenue in the dataset. Those zero-paid entries should be interpreted cautiously in operational analysis because they may reflect reporting quirks, non-billable public-health reporting, or adjudication outcomes rather than typical clinical revenue streams.

Tenure on file is long: the NPI was enumerated on 2007-07-16 (~19 years ago), indicating an established practice presence despite the relatively small Medicaid revenue total. The combination of long tenure and modest Medicaid billing suggests either a low-volume Medicaid panel, a mixed payer practice with off-file commercial billing, or constrained Medicaid utilization within the observed claims.

Operationally, the practice demonstrates a preventive-first service mix with targeted restorative work driving incremental revenue; this profile aligns with a general practice dentistry model serving Medicaid populations. Given the absence of Medicare activity, any competitive or revenue-growth analysis should treat Medicaid as the primary denominator and consider whether expanding higher-reimbursement restorative services or broadening payer participation could materially change the provider's revenue profile.

Medicaid: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D0120	Periodic oral evaluation - established patient	180	$30	$5.1K
D2391	Resin‑based composite – one surface, posterior	60	$80	$4.4K
D1351	Sealant - per tooth	160	$30	$4.3K
D2392	Post 2 surface resin‑based composite	40	$90	$3.5K
D1208	Topical application of fluoride - excluding varnish	180	$10	$2.6K
D0230	Intraoral - periapical each additional radiographic image	220	$10	$2.4K
D0274	N/A	70	$30	$2.4K
D0220	Intraoral - periapical first radiographic image	180	$10	$2.2K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	40	$50	$2.1K
D1120	Prophylaxis–child	60	$40	$2.1K

Showing 1–10 of 12

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Unspecified Location providers billing the same CPT/HCPCS codes. Note: "ZZ" is a placeholder CMS uses when a provider's practice-location state wasn't reported — not a traditional US state; claims coded under it are benchmarked here as their own state-equivalent group.

Claims Volume vs. Unspecified Location Distribution

Ann Vo — 5 of 10 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Unspecified Location

Full comparison — all codes billed, vs. Unspecified Location median

12 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2391	Resin‑based composite – one surface, posterior	1	10	60	$80	$4.4K
D1351	Sealant - per tooth	1	10	160	$30	$4.4K
D2392	Post 2 surface resin‑based composite	1	10	40	$90	$3.6K
D0230	Intraoral - periapical each additional radiographic image	1	10	220	$10	$2.4K
D1120	Prophylaxis–child	1	10	60	$40	$2.1K
D0120	Periodic oral evaluation - established patient	1	10	40	$20	$1.4K
D1208	Topical application of fluoride - excluding varnish	1	10	100	$10	$1.3K
D0274	N/A	1	10	50	$30	$1.3K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	1	10	20	$50	$1.2K
D0220	Intraoral - periapical first radiographic image	1	10	110	$10	$1.1K

Showing 1–10 of 12

Ann Vo — Billing Profile & Reimbursement Data

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Ann Vo — 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

Frequently Asked Questions

References