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

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

Brown County Oral Health Partnership, Inc. (NPI 1285800052)

Field	Value
Entity Type	Organization
Organization	Brown County Oral Health Partnership, Inc.
Address	2701 Larsen Rd
City	Green Bay
State	WI
ZIP	54303
Taxonomy	Public Health or Welfare Agency
NPI Enumerated	May 1, 2008

Payer Source	Total Paid
Medicaid	$26.6M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-first operation: there is no Medicare billing on file and total Medicaid revenue is $26.6M, indicating near-exclusive reliance on Medicaid as the payor base. Analysts should treat BROWN COUNTY ORAL HEALTH PARTNERSHIP, INC. as a single‑payer Medicaid entity for competitive and utilization comparisons.

Revenue is concentrated in a small set of high-volume dental codes: the precomputed top‑3 Medicaid codes account for 37.2% of the provider’s total Medicaid revenue, led by D2930 ($4.3M, 16.7%), followed by D1120 ($2.8M, 11.1%) and D1206 ($2.4M, 9.4%). This concentration means changes to reimbursement or utilization for these specific codes would materially affect overall revenue.

The claims mix and code descriptions point to a public‑health, prevention‑focused dental operation with significant pediatric activity: D1206 has 89.2K claims, D1120 has 61.9K claims, D1351 has 62.2K claims, and routine exam codes D0120 (59.3K claims) and D0150 (12.1K claims) also rank highly. High volumes of topical fluoride, sealants, and prophylaxis suggest school‑based or community preventive programs and workflows optimized for high throughput of preventive visits.

Competitive standing within Wisconsin is strong and in many cases dominant for preventive services: D1120 ranks #2 of 519 providers in-state (100th percentile; extreme outlier) and D1206 ranks #2 of 543 providers (100th percentile; extreme outlier), while D1351 is #2 of 338 providers (100th percentile; extreme outlier) and D0120 is #3 of 502 providers (100th percentile; extreme outlier). These rankings indicate the provider is a major statewide player for pediatric prophylaxis, fluoride application, sealants, and routine evaluation.

Several procedure lines are statistical outliers or highest‑rank statewide, suggesting programmatic specialization beyond typical practice patterns: D2940 is #1 of 21 providers in-state (100th percentile; extreme outlier), D9420 is #1 of 35 providers (100th percentile; extreme outlier), and D1354 is #1 of 101 providers (100th percentile; extreme outlier). Other high‑volume codes such as D2930 (21.9K claims; ranks #4 of 75, 96th percentile; extreme outlier) and D1110 (20K claims; ranks #5 of 497, 99th percentile; extreme outlier) further underscore unusual scale relative to peers.

Operational scale is substantial: multiple individual codes exceed tens of thousands of claims (for example, D1206 89.2K claims, D1120 61.9K claims, D1351 62.2K claims, D0120 59.3K claims), indicating large patient throughput and consistent service delivery across preventive and routine restorative categories. This volume profile is consistent with a public health agency delivering population‑level dental prevention and basic restorative care rather than a typical small dental practice.

The provider has established tenure in federal enrollment, having been enumerated on 2008-05-01 (~18 years ago), and is categorized under the Public Health or Welfare Agency taxonomy. That longevity combined with the Medicaid‑heavy, high‑volume preventive mix suggests a stable, programmatic oral‑health provider model that is likely integrated with community or school‑based outreach rather than episodic fee‑for‑service dentistry.

Medicaid: Complete Services Breakdown

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

49 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2930	N/A	21,860	$200	$4.3M
D1120	Prophylaxis–child	61,930	$50	$2.8M
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	89,220	$30	$2.4M
D1351	Sealant - per tooth	62,170	$40	$2.2M
D0120	Periodic oral evaluation - established patient	59,270	$30	$2M
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	12,320	$110	$1.4M
D2392	Post 2 surface resin‑based composite	8,100	$150	$1.2M
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	19,970	$60	$1.2M
D2391	Resin‑based composite – one surface, posterior	9,710	$120	$1.1M
D0210	Intraoral - complete series of radiographic images	11,240	$90	$1M

Showing 1–10 of 49

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Wisconsin Distribution

Brown County Oral Health Partnership, Inc. — 19 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wisconsin

Full comparison — all codes billed, vs. Wisconsin median

49 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	4	80	410	$150	$427.7K
D2392	Post 2 surface resin‑based composite	21	270	510	$60	$123.3K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	9	220	430	$50	$111.4K
D1351	Sealant - per tooth	2	340	1,020	$20	$90.2K
D2393	Resin-based composite, three surfaces, posterior	52	140	270	$70	$72.8K
D2391	Resin‑based composite – one surface, posterior	8	240	300	$50	$71.8K
D1120	Prophylaxis–child	2	520	460	$30	$62.6K
D9420	N/A	1	40	170	$200	$62.2K
D0210	Intraoral - complete series of radiographic images	7	270	360	$40	$60K
D0120	Periodic oral evaluation - established patient	3	500	480	$20	$56K

Showing 1–10 of 49

Nearby Providers

Other providers in the same ZIP code as Brown County Oral Health Partnership, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Quality Addiction Management Inc	WI	Methadone Clinic	$1.2M	$66.8M
Familia Dental West Green Bay	WI	Dental Clinic/Center	$0	$15M
St Mary's Hospital Medical Center Of Green Bay Inc.-hospital Sisters	WI	General Acute Care Hospital	$0	$12.8M
Green Bay Area Public School District	WI	Local Education Agency (LEA)	$0	$6.2M
Aspiro, Inc.	WI	Developmentally Disabled Services Day Training Agency	$0	$4.9M
N.e.w. Community Clinic, Ltd	WI	Federally Qualified Health Center (FQHC)	$0	$4.7M
Kismet Advocacy LLC	WI	In Home Supportive Care Agency	$0	$3.8M
Power For Change, LLC	WI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$2.7M
Family Services Of Northeast Wi	WI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$1.9M
Tower Clock Surgery Center LLC	WI	Ambulatory Surgical Clinic/Center	$1.2M	$428.6K

Brown County Oral Health Partnership, Inc. — Billing Profile & Reimbursement Data

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Brown County Oral Health Partnership, Inc. — 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

Nearby Providers

Frequently Asked Questions

References