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

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

Dental Center Of Plymouth LLC (NPI 1336516517)

Field	Value
Entity Type	Organization
Organization	Dental Center Of Plymouth LLC
Address	1913 N Michigan St Ste E
City	Plymouth
State	IN
ZIP	46563
Taxonomy	Dentist
NPI Enumerated	August 24, 2015

Payer Source	Total Paid
Medicaid	$3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

23 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2930	N/A	2,670	$150	$397.1K
D1120	Prophylaxis–child	11,800	$30	$354.1K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	16,390	$20	$311.4K
D0120	Periodic oral evaluation - established patient	14,170	$20	$283.4K
D1351	Sealant - per tooth	10,880	$20	$261K
D0272	N/A	12,900	$20	$257.9K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	5,210	$40	$223.9K
D9230	N/A	7,210	$30	$194.5K
D2392	Post 2 surface resin‑based composite	2,530	$60	$144.3K
D2391	Resin‑based composite – one surface, posterior	2,940	$50	$144K

Showing 1–10 of 23

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Indiana Distribution

Dental Center Of Plymouth LLC — 3 of 21 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Indiana

Full comparison — all codes billed, vs. Indiana median

23 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	57	170	1,180	$130	$370.2K
D1354	N/A	98	130	700	$70	$252.9K
D1351	Sealant - per tooth	59	450	780	$20	$118.4K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	194	540	460	$70	$106.9K
D2392	Post 2 surface resin‑based composite	107	720	400	$60	$76.5K
D1120	Prophylaxis–child	51	970	450	$30	$69K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	81	1,230	660	$40	$67K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	32	750	530	$20	$56.9K
D0120	Periodic oral evaluation - established patient	51	1,360	800	$20	$53.2K
D9230	N/A	26	370	490	$30	$46.8K

Showing 1–10 of 23

Related Providers

Other providers that share a Tax Identification Number (TIN) with Dental Center Of Plymouth LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dental Center Of Goshen PLLC	IN	Dentist	$0	$3.2M

Nearby Providers

Other providers in the same ZIP code as Dental Center Of Plymouth LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hhc Indiana Inc.	IN	Psychiatric Hospital	$0	$15.3M
Saint Joseph Regional Medical Center- Plymouth Campus Inc	IN	General Acute Care Hospital	$0	$6.5M
Saint Joseph Regional Medical Center, Inc.	IN	Pulmonary Disease Physician	$0	$5.5M
South Bend Psychiatry LLC	IN	Psychiatry Physician	$0	$2.8M
Muhammad Hussain	IN	Medical Oncology Physician	$932.8K	$0
Adam Perlmutter	IN	Urology Physician	$156.4K	$0
John Lafree	IN	Physical Therapist	$63K	$0
Brian Piazza	IN	Surgery Physician	$28.5K	$0
Melinda Halupa	IN	Nurse Practitioner	$22.5K	$0

Dental Center Of Plymouth LLC — 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