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

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

Jesse Low (NPI 1265739486)

Field	Value
Entity Type	Individual
Organization	Jesse Low
Address	4501 Diplomacy Dr
City	Anchorage
State	AK
ZIP	99508
Taxonomy	Dentist
NPI Enumerated	February 24, 2011

Payer Source	Total Paid
Medicaid	$2.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

22 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D0120	Periodic oral evaluation - established patient	8,660	$120	$1.1M
D1351	Sealant - per tooth	7,910	$30	$269K
D0150	Comprehensive oral evaluation – new or established patient	1,210	$130	$159.6K
D2150	Amalgam - two surfaces, primary or permanent	2,300	$50	$112.6K
D0272	N/A	5,900	$20	$100.3K
D1120	Prophylaxis–child	9,270	$10	$83.4K
D0220	Intraoral - periapical first radiographic image	7,920	$10	$63.4K
D2930	N/A	830	$70	$61.3K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	9,860	$10	$49.3K
D9230	N/A	430	$110	$47.3K

Showing 1–10 of 22

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Alaska Distribution

Jesse Low — 7 of 22 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alaska

Full comparison — all codes billed, vs. Alaska median

22 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	14	30	530	$160	$330.3K
D0140	Limited oral evaluation – problem focused	113	150	290	$220	$215.6K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	11	160	510	$100	$212.9K
D1351	Sealant - per tooth	10	70	1,370	$50	$191.4K
D0220	Intraoral - periapical first radiographic image	4	160	300	$130	$181K
D0120	Periodic oral evaluation - established patient	7	190	390	$100	$141.4K
D2392	Post 2 surface resin‑based composite	35	110	220	$150	$126.5K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	14	50	440	$110	$116.9K
D1120	Prophylaxis–child	5	140	230	$70	$106.8K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	87	180	290	$100	$80K

Showing 1–10 of 22

Nearby Providers

Other providers in the same ZIP code as Jesse Low, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alaska Native Tribal Health Consortium	AK	General Acute Care Hospital	$0	$397.1M
Providence Health & Services Washington	AK	General Acute Care Hospital	$0	$161.5M
Southcentral Foundation	AK	Community Health Clinic/Center	$0	$130.3M
Alaska Native Tribal Health Consortium	AK	Transportation Broker	$0	$65.5M
The Arc Of Anchorage	AK	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$50.8M
Good Samaritan Care Services	AK	In Home Supportive Care Agency	$0	$46.1M
Alaska Native Tribal Health Consortium	AK	General Acute Care Hospital	$0	$33.1M
Galen Hospital Alaska, Inc.	AK	General Acute Care Hospital	$0	$31.8M
Anchorage Community Mental Health	AK	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$31.7M
Patient Housing At Anmc	AK	General Acute Care Hospital	$0	$31M

Jesse Low — Billing Profile & Reimbursement Data

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Jesse Low — 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