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.

Mid- Atlantic Dental Partners Delaware Iii, PA (NPI 1326603044)

Field	Value
Entity Type	Organization
Organization	Mid- Atlantic Dental Partners Delaware Iii, PA
Address	4133 Ogletown Stanton Rd
City	Newark
State	DE
ZIP	19713
Taxonomy	Dental Clinic/Center
NPI Enumerated	May 8, 2019

Payer Source	Total Paid
Medicaid	$64.7K
Medicare	$0

Medicaid: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	880	$20	$18.6K
D0120	Periodic oral evaluation - established patient	550	$30	$14.4K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	230	$40	$9.7K
D2392	Post 2 surface resin‑based composite	40	$120	$4.9K
D1120	Prophylaxis–child	170	$30	$4.8K
D0220	Intraoral - periapical first radiographic image	330	$10	$4.3K
D0274	N/A	160	$20	$3.6K
D0230	Intraoral - periapical each additional radiographic image	310	$10	$3.4K
D0330	N/A	20	$40	$810
D0150	Comprehensive oral evaluation – new or established patient	20	$20	$290

Showing 1–10 of 13

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

Mid- Atlantic Dental Partners Delaware Iii, PA — 0 of 10 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

13 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2392	Post 2 surface resin‑based composite	81	90	490	$220	$366.3K
D1120	Prophylaxis–child	92	120	960	$50	$163.3K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	71	130	1,220	$30	$116.9K
D0120	Periodic oral evaluation - established patient	91	160	800	$40	$110.5K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	98	160	330	$60	$82.3K
D0274	N/A	78	130	330	$50	$57.4K
D0330	N/A	84	100	190	$70	$54.1K
D0150	Comprehensive oral evaluation – new or established patient	131	150	260	$60	$53.2K
D0230	Intraoral - periapical each additional radiographic image	51	90	480	$20	$52.9K
D0220	Intraoral - periapical first radiographic image	64	110	410	$20	$46.6K

Showing 1–10 of 13

Mid- Atlantic Dental Partners Delaware Iii, PA — Billing Profile & Reimbursement Data

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Mid- Atlantic Dental Partners Delaware Iii, PA — 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