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

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

Ben Alderdice (NPI 1346397163)

Field	Value
Entity Type	Individual
Organization	Ben Alderdice
Address	100 Hardin Ln Ste B
City	Somerset
State	KY
ZIP	42503
Taxonomy	Oral and Maxillofacial Surgery (Dentist)
NPI Enumerated	January 4, 2007

Payer Source	Total Paid
Medicaid	$8.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

16 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	24,960	$120	$3M
D7240	N/A	8,050	$230	$1.9M
D7310	N/A	7,510	$180	$1.4M
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	19,760	$70	$1.3M
D0330	N/A	7,690	$50	$377K
D7250	N/A	2,080	$140	$291.8K
D0150	Comprehensive oral evaluation – new or established patient	3,780	$50	$177.6K
D0140	Limited oral evaluation – problem focused	3,840	$30	$126.7K
D7230	N/A	390	$190	$75.8K
D7260	N/A	230	$300	$70.6K

Showing 1–10 of 16

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Kentucky Distribution

Ben Alderdice — 8 of 16 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kentucky

Full comparison — all codes billed, vs. Kentucky median

16 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D7240	N/A	2	70	620	$210	$354.3K
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…	2	230	350	$100	$162.2K
D7310	N/A	1	20	230	$160	$134K
D7230	N/A	11	40	200	$170	$93.8K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	7	520	560	$50	$85.2K
D9243	N/A	20	20	190	$120	$83.3K
D0150	Comprehensive oral evaluation – new or established patient	150	1,010	740	$30	$61.4K
D0330	N/A	17	840	420	$40	$52.4K
D7250	N/A	2	40	140	$110	$46.1K
D7260	N/A	1	10	130	$280	$36.1K

Showing 1–10 of 16

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Morrland Healthcare LLC	KY	Community/Behavioral Health Agency	$0	$54.8M
Applied Behavioral Advancements, LLC	KY	Community/Behavioral Health Agency	$0	$29.2M
Protea Behavioral Health Counseling, PLLC	KY	Professional Counselor	$0	$24.4M
Lake Cumberland Regional Hospital, LLC	KY	Internal Medicine Physician	$0	$15.6M
Cumberland Behavior Group, LLC	KY	Community/Behavioral Health Agency	$0	$15.2M
Quest Counseling	KY	Mental Health Counselor	$0	$12.5M
Lake Cumberland Recovery, Inc	KY	Substance Use Disorder Rehabilitation Clinic/Center	$0	$11.8M
Achievements Through Actions	KY	Developmentally Disabled Services Day Training Agency	$0	$10M
Lake Cumberland Surgery Center LP	KY	Ambulatory Surgical Clinic/Center	$1M	$8.7M
Adult Day Health, Inc.	KY	Adult Day Care Clinic/Center	$0	$8.9M

Ben Alderdice — Billing Profile & Reimbursement Data

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Ben Alderdice — 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