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.

Mountain Dental PC (NPI 1366596033)

Field	Value
Entity Type	Organization
Organization	Mountain Dental PC
Address	345 Garfield St
City	Lander
State	WY
ZIP	82520
Taxonomy	Dental Clinic/Center
NPI Enumerated	January 22, 2007

Payer Source	Total Paid
Medicaid	$103.2K
Medicare	$0

Medicaid: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D0120	Periodic oral evaluation - established patient	800	$30	$23.9K
D1120	Prophylaxis–child	590	$30	$18.8K
D2392	Post 2 surface resin‑based composite	210	$90	$18.5K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	440	$30	$13.2K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	210	$50	$10.6K
D2930	N/A	60	$140	$7.5K
D0274	N/A	190	$30	$5.9K
D2391	Resin‑based composite – one surface, posterior	40	$70	$3.2K
D1330	N/A	140	$10	$990
D1208	Topical application of fluoride - excluding varnish	10	$20	$280

Showing 1–10 of 11

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

Mountain Dental PC — 0 of 11 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

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	13	10	810	$130	$141.9K
D2392	Post 2 surface resin‑based composite	15	30	230	$90	$87.4K
D2391	Resin‑based composite – one surface, posterior	17	20	140	$70	$56.9K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	38	100	130	$30	$46.4K
D1120	Prophylaxis–child	23	100	110	$30	$39.8K
D0120	Periodic oral evaluation - established patient	31	130	170	$30	$36.9K
D0272	N/A	39	40	150	$20	$27.8K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	33	90	100	$50	$27.4K
D0274	N/A	25	60	140	$30	$14.3K
D1208	Topical application of fluoride - excluding varnish	14	20	100	$20	$6.7K

Showing 1–10 of 11

Nearby Providers

Other providers in the same ZIP code as Mountain Dental PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Riverton Memorial Hospital LLC	WY	Rural Acute Care Hospital	$0	$4.7M
Community Health Center Of Central Wyoming Inc	WY	Federally Qualified Health Center (FQHC)	$0	$2.8M
Frontier Wyoming, L.L.C.	WY	Home Health Agency	$0	$2.5M
Lander Medical Clinic, PC	WY	Family Medicine Physician	$0	$2.1M
Eh Health Home Health Of The Northwest, LLC	WY	Home Health Agency	$0	$2M
Gregory P Clifford Md PC	WY	Personal Emergency Response Attendant	$0	$1.8M
Guardian Flight LLC	WY	Air Ambulance	$699K	$586.5K
Jessica West	WY	Case Manager/Care Coordinator	$0	$964.6K
Knell Access Management	WY	In Home Supportive Care Agency	$0	$893.6K
Wyoming Path Behavioral Health, LLC	WY	Community/Behavioral Health Agency	$0	$836.8K

Mountain Dental PC — Billing Profile & Reimbursement Data

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Mountain Dental PC — 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