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.

Tri-county Community Dental Clinic, Inc. (NPI 1336237551)

Field	Value
Entity Type	Organization
Organization	Tri-county Community Dental Clinic, Inc.
Address	9 Tri Park Way
City	Appleton
State	WI
ZIP	54914
Taxonomy	Dental Clinic/Center
NPI Enumerated	October 11, 2006

Payer Source	Total Paid
Medicaid	$4.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

39 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	47,790	$10	$669.1K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	12,360	$40	$519K
D2392	Post 2 surface resin‑based composite	8,120	$60	$487.1K
D1120	Prophylaxis–child	18,170	$20	$436K
D1351	Sealant - per tooth	15,700	$20	$282.7K
D2391	Resin‑based composite – one surface, posterior	6,080	$50	$279.6K
D0140	Limited oral evaluation – problem focused	13,300	$20	$265.9K
D0150	Comprehensive oral evaluation – new or established patient	10,400	$20	$239.3K
D0120	Periodic oral evaluation - established patient	13,820	$20	$234.9K
D0274	N/A	10,700	$20	$214.1K

Showing 1–10 of 39

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

Tri-county Community Dental Clinic, Inc. — 10 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

39 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	54	80	410	$150	$427.7K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…	41	120	490	$100	$179.5K
D2392	Post 2 surface resin‑based composite	20	270	510	$60	$123.3K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	8	220	430	$50	$111.4K
D1351	Sealant - per tooth	29	340	1,020	$20	$90.2K
D2393	Resin-based composite, three surfaces, posterior	26	140	270	$70	$72.8K
D2391	Resin‑based composite – one surface, posterior	21	240	300	$50	$71.8K
D1120	Prophylaxis–child	10	520	460	$30	$62.6K
D0210	Intraoral - complete series of radiographic images	93	270	360	$40	$60K
D0120	Periodic oral evaluation - established patient	22	500	480	$20	$56K

Showing 1–10 of 39

Nearby Providers

Other providers in the same ZIP code as Tri-county Community Dental Clinic, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Options Lab, Inc.	WI	Clinical Medical Laboratory	$440.8K	$12.5M
Catalpa Health	WI	Community/Behavioral Health Agency	$0	$4M
Northeast Wisconsin Retina Associates Sc	WI	Retina Specialist (Ophthalmology) Physician	$0	$2.4M
Michael Possin	WI	Retina Specialist (Ophthalmology) Physician	$1.7M	$360
Appleton Dental Care LLC	WI	Dental Clinic/Center	$0	$1.6M
Pinnacle Cataract And Laser Institute LLC	WI	Ambulatory Surgical Clinic/Center	$994.5K	$481.6K
Anthony Parendo	WI	Retina Specialist (Ophthalmology) Physician	$1.2M	$0
Options Treatment Programs, Inc	WI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$1.2M
Benjamin Ernst	WI	Retina Specialist (Ophthalmology) Physician	$909.7K	$0
Micheal Vrabec	WI	Ophthalmology Physician	$380.3K	$0

Tri-county Community Dental Clinic, Inc. — Billing Profile & Reimbursement Data

Sign up for Tri-county Community Dental Clinic, Inc. — Billing Profile & Reimbursement Data policy alerts

Tri-county Community Dental Clinic, Inc. — Billing Profile & Reimbursement Data

Sign up for Tri-county Community Dental Clinic, Inc. — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References