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

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

Weston Jones (NPI 1336458397)

Field	Value
Entity Type	Individual
Organization	Weston Jones
Address	1208 Hilltop Dr Ste 209
City	Rock Springs
State	WY
ZIP	82901
Taxonomy	Pediatric Dentistry
NPI Enumerated	September 24, 2010

Payer Source	Total Paid
Medicaid	$452.4K
Medicare	$0

Medicaid: Complete Services Breakdown

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	3,530	$30	$120K
D1120	Prophylaxis–child	3,150	$30	$107.1K
D0120	Periodic oral evaluation - established patient	2,400	$30	$79.1K
D2930	N/A	240	$140	$32.7K
D0220	Intraoral - periapical first radiographic image	1,160	$20	$20.9K
D0272	N/A	930	$20	$20.5K
D0150	Comprehensive oral evaluation – new or established patient	490	$40	$17.1K
D0140	Limited oral evaluation – problem focused	310	$40	$13.4K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	150	$80	$11.6K
D0230	Intraoral - periapical each additional radiographic image	500	$20	$7.5K

Showing 1–10 of 17

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Wyoming Distribution

Weston Jones — 0 of 16 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wyoming

Full comparison — all codes billed, vs. Wyoming median

17 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	10	10	810	$130	$141.9K
D1351	Sealant - per tooth	19	30	200	$30	$64.6K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	9	100	130	$30	$46.4K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	13	20	300	$70	$40.1K
D1120	Prophylaxis–child	8	100	110	$30	$39.8K
D9420	N/A	8	10	140	$130	$37.4K
D0120	Periodic oral evaluation - established patient	14	130	170	$30	$36.9K
D9230	N/A	13	20	360	$20	$35.9K
D0272	N/A	10	40	150	$20	$27.8K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	39	90	100	$50	$27.4K

Showing 1–10 of 17

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lsw, LLC	WY	Developmentally Disabled Services Day Training Agency	$0	$11.6M
Able Hands	WY	Developmentally Disabled Services Day Training Agency	$0	$9.6M
Sweetwater Pediatrics P.C.	WY	Primary Care Clinic/Center	$0	$2M
Pain Care Center, LLC	WY	Pain Medicine (Anesthesiology) Physician	$0	$1.6M
Southwest Counseling Service	WY	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$1.5M
Qrc LLC	WY	Case Management Agency	$0	$1.4M
University Of Utah Adult Services	WY	Emergency Medicine Physician	$0	$1.2M
Lcr Dental Rock Springs LLC	WY	Dentist	$0	$1.1M
Memorial Hospital Of Sweetwater County	WY	Internal Medicine Physician	$0	$1.1M
Aai Services LLC	WY	Case Management Agency	$0	$971.4K

Weston Jones — Billing Profile & Reimbursement Data

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Weston Jones — 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