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

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

Adam Shepherd (NPI 1306080353)

Field	Value
Entity Type	Individual
Organization	Adam Shepherd
Address	167 N 400 W
City	Orem
State	UT
ZIP	84057
Taxonomy	Pediatric Dentistry
NPI Enumerated	April 21, 2009

Payer Source	Total Paid
Medicaid	$922.3K
Medicare	$0

Medicaid: Complete Services Breakdown

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

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D0120	Periodic oral evaluation - established patient	5,680	$70	$380.3K
D1120	Prophylaxis–child	5,730	$20	$120.4K
D2392	Post 2 surface resin‑based composite	760	$90	$65.8K
D1351	Sealant - per tooth	1,940	$30	$62.1K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	5,960	$10	$53.6K
D0272	N/A	3,860	$10	$50.2K
D0274	N/A	1,420	$30	$39.6K
D2391	Resin‑based composite – one surface, posterior	440	$70	$30.1K
D0150	Comprehensive oral evaluation – new or established patient	330	$80	$26.9K
D2150	Amalgam - two surfaces, primary or permanent	490	$50	$24.7K

Showing 1–10 of 18

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Utah Distribution

Adam Shepherd — 0 of 17 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Utah

Full comparison — all codes billed, vs. Utah median

18 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D0120	Periodic oral evaluation - established patient	35	470	460	$80	$149.8K
D1351	Sealant - per tooth	50	190	620	$30	$60.7K
D0140	Limited oral evaluation – problem focused	208	260	140	$120	$55.8K
D2150	Amalgam - two surfaces, primary or permanent	90	220	290	$60	$45K
D2392	Post 2 surface resin‑based composite	31	170	170	$80	$39.4K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	95	150	170	$60	$35.9K
D0220	Intraoral - periapical first radiographic image	133	440	470	$20	$32.8K
D0150	Comprehensive oral evaluation – new or established patient	109	420	110	$100	$30.8K
D1120	Prophylaxis–child	34	420	440	$20	$30.7K
D2391	Resin‑based composite – one surface, posterior	25	110	170	$70	$25.2K

Showing 1–10 of 18

Related Providers

Other providers that share a Tax Identification Number (TIN) with Adam Shepherd, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pediatric Smiles PLLC	UT	Pediatric Dentistry	$0	$1.1M
David Anderson	UT	Pediatric Dentistry	$0	$576.6K
Thayne Gardner	UT	Pediatric Dentistry	$0	$369.8K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Home Health Specialists, LLC	UT	Home Health Agency	$0	$16.1M
Timpanogos Regional Medical Services, Inc.	UT	General Acute Care Hospital	$0	$7.8M
Kids On The Move, Inc.	UT	Developmentally Disabled Services Day Training Agency	$0	$6.7M
Papilion Integrated Recovery Centers	UT	Substance Use Disorder Rehabilitation Clinic/Center	$0	$6.2M
Chrysalis Utah, LLC	UT	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$4.6M
Kids On The Move, Inc	UT	Developmentally Disabled Services Day Training Agency	$0	$4.4M
Ihc Health Services, Inc.	UT	General Acute Care Hospital	$0	$4.2M
City Of Orem Corporation	UT	Land Ambulance	$235.5K	$3.1M
Central Utah Surgicenter, LLC	UT	Ambulatory Surgical Clinic/Center	$2.1M	$28K
Hautoa Enterprises LLC	UT	Substance Abuse Rehabilitation Facility	$49.8K	$1.9M

Adam Shepherd — Billing Profile & Reimbursement Data

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Adam Shepherd — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References