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

Why is the Medicaid comparison limited to North Dakota 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. North Dakota (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.

North University Dental (NPI 1275391278)

Field	Value
Entity Type	Organization
Organization	North University Dental
Address	1115 19th Ave N
City	Fargo
State	ND
ZIP	58102
Taxonomy	Dental Clinic/Center
NPI Enumerated	March 13, 2024

Payer Source	Total Paid
Medicaid	$17.4K
Medicare	$0

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	100	$50	$4.8K
D0120	Periodic oral evaluation - established patient	110	$30	$3.3K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	120	$30	$3.1K
D0150	Comprehensive oral evaluation – new or established patient	70	$40	$3K
D0274	N/A	50	$40	$1.8K
D1120	Prophylaxis–child	20	$40	$840
D0220	Intraoral - periapical first radiographic image	20	$20	$320
D0230	Intraoral - periapical each additional radiographic image	20	$10	$260

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. North Dakota Distribution

North University Dental — 0 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Dakota

Full comparison — all codes billed, vs. North Dakota median

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D1120	Prophylaxis–child	65	80	360	$40	$48.3K
D0120	Periodic oral evaluation - established patient	76	120	350	$40	$46.8K
D0150	Comprehensive oral evaluation – new or established patient	41	60	250	$50	$27K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	48	80	160	$40	$24.1K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	65	110	230	$20	$23.6K
D0274	N/A	44	50	240	$30	$14.3K
D0230	Intraoral - periapical each additional radiographic image	18	20	230	$10	$6.7K
D0220	Intraoral - periapical first radiographic image	32	40	210	$10	$6.3K

North University Dental — Billing Profile & Reimbursement Data

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North University Dental — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Frequently Asked Questions

References