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

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

I. Kent Elkington, P.A. (NPI 1295849768)

Field	Value
Entity Type	Organization
Organization	I. Kent Elkington, P.A.
Address	218 Pennsylvania Ave
City	Seaford
State	DE
ZIP	19973
Taxonomy	General Practice Dentistry
NPI Enumerated	August 19, 2006

Payer Source	Total Paid
Medicaid	$457K
Medicare	$0

Medicaid: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1351	Sealant - per tooth	2,250	$50	$101.4K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	1,830	$50	$97K
D0120	Periodic oral evaluation - established patient	2,300	$30	$73.6K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	2,550	$30	$71.5K
D1120	Prophylaxis–child	980	$50	$50.1K
D0274	N/A	950	$40	$39K
D0330	N/A	180	$60	$10.9K
D0150	Comprehensive oral evaluation – new or established patient	370	$20	$8.6K
D0272	N/A	110	$30	$3.9K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	20	$40	$780

Showing 1–10 of 15

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Delaware Distribution

I. Kent Elkington, P.A. — 0 of 11 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Delaware

Full comparison — all codes billed, vs. Delaware median

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D1351	Sealant - per tooth	26	70	1,690	$40	$217.1K
D1120	Prophylaxis–child	57	120	960	$50	$163.3K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	58	60	270	$140	$137K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	42	130	1,220	$30	$116.9K
D0120	Periodic oral evaluation - established patient	47	160	800	$40	$110.5K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	40	160	330	$60	$82.3K
D0272	N/A	58	80	430	$40	$71.6K
D0274	N/A	43	130	330	$50	$57.4K
D0330	N/A	51	100	190	$70	$54.1K
D0150	Comprehensive oral evaluation – new or established patient	63	150	260	$60	$53.2K

Showing 1–10 of 15

Nearby Providers

Other providers in the same ZIP code as I. Kent Elkington, P.A., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tidalhealth Nanticoke, Inc	DE	General Acute Care Hospital	$0	$19.2M
Dynamic Therapy Services LLC	DE	Physical Therapist	$0	$12.8M
Addiction Medical Facility, LLC	DE	Substance Abuse Rehabilitation Facility	$98.8K	$9M
Tidalhealth Physician Network, Inc.	DE	Family Medicine Physician	$0	$8.7M
Resouces For Human Development, Inc.	DE	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$5.4M
Ambient Medical Care, LLC	DE	Urgent Care Clinic/Center	$0	$3.3M
Lynch, Rodriguez And Keller, PA	DE	Dentist	$0	$3.3M
Tidalhealth Physician Network, Inc.	DE	Family Medicine Physician	$0	$2.9M
Ivonne Herrera	DE	Rheumatology Physician	$2.7M	$0
Seaford Internal Medicine LLC	DE	Internal Medicine Physician	$0	$2.7M

I. Kent Elkington, P.A. — Billing Profile & Reimbursement Data

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I. Kent Elkington, P.A. — 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