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

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

Dr. David M. Vieth 2, P.C. (NPI 1366772402)

Field	Value
Entity Type	Organization
Organization	Dr. David M. Vieth 2, P.C.
Address	1580 Wesel Blvd Ste O
City	Hagerstown
State	MD
ZIP	21740
Taxonomy	General Practice Dentistry
NPI Enumerated	January 13, 2010

Payer Source	Total Paid
Medicaid	$77.8M
Medicare	$0

Key Findings

This provider is effectively a single‑payer Medicaid operation: there is no Medicare billing on file and lifetime Medicaid revenue is reported as $77.8M, indicating that the provider’s scale and business model are driven almost entirely by Medicaid patients rather than a mixed Medicare/Medicaid payer mix. Analysts should treat Medicaid as the de facto sole commercial lever when modeling revenue sensitivity or contract negotiations.

Revenue is concentrated in a small set of dental procedures: the precomputed top 3 Medicaid codes by revenue account for 34.8% of this provider's total Medicaid revenue, led by D2392 ($9.7M, 12.6%), D2930 ($8.9M, 11.7%), and D1120 ($8M, 10.5%). This concentration implies that changes in reimbursement or utilization patterns for posterior composite restorations and child prophylaxis could materially affect overall revenue.

The code mix points to a high-volume general dentistry operation with a strong pediatric/preventive focus and significant restorative throughput: very large counts for pediatric prophylaxis D1120 (182.1K claims) and sealants D1351 (219.5K claims) coexist with high-volume posterior composites D2392 (77.3K claims) and D2391 (52.1K claims). Together these codes indicate a clinic model that emphasizes routine preventive care for children plus frequent posterior restorations, consistent with a general practice dentistry taxonomy that serves a large Medicaid population.

Competitive standing in-state is dominant for many procedure lines: D2392, D2930, D1120, D1351, D0120, D2391 and a long list of other codes each rank #1 in Maryland and are labeled as “extreme outlier, far above typical state volume for this code,” placing this provider at or near the top statewide for core preventive and restorative services. For payers benchmarking provider networks, this entity represents a major in‑state volume center for pediatric preventive and routine restorative dentistry.

Several codes show contrasting statistical characterizations that are useful for risk and utilization profiling: many high-volume codes are flagged as “extreme outlier” (e.g., D0120 180.6K claims; D0220 104.9K claims; D0272 123.2K claims), while some higher‑priced, lower‑count procedures such as D8080 (889 claims, $1019 avg paid/claim) and D8670 (10.4K claims, $73 avg paid/claim) are described as “typical, unremarkable” or in high but not extreme percentiles. This mix suggests the provider’s dominance is concentrated in routine, high-frequency dental services rather than a broad, equally dominant profile across all specialty codes.

Operational throughput appears extremely large based on claim volumes: multiple codes exceed six-figure claim counts (for example D1351 219.5K claims, D1120 182.1K claims, D0272 123.2K claims and D0220 104.9K claims), implying centralized high‑volume clinics or a multi‑site practice capable of handling substantial pediatric and preventive caseloads. Payers and network planners should expect high appointment turnover and heavy reliance on preventive visit flows from this provider.

Revenue composition shows a pattern of many low‑unit‑price, high‑volume services alongside fewer high‑unit‑price items: examples include D0272 ($15 avg paid/claim producing $1.8M on 123.2K claims) versus D8080 ($1019 avg paid/claim producing $905.9K on 889 claims) and D7240 ($285 avg paid/claim producing $3.2M on 11.1K claims). This indicates margin and utilization risk are driven both by the volume of routine, low‑paid services and by episodic higher‑paid procedures; adjustments to fee schedules or utilization management could shift revenue materially.

The provider has an established enrollment history with NPI enumerated 2010-01-13 (~16 years ago), which supports the conclusion that its large Medicaid footprint is the result of sustained operations rather than a short-lived reporting spike. Tenure of ~16 years combined with consistent extreme‑volume rankings suggests an entrenched role in the state Medicaid dental network rather than a transient high‑volume outlier.

Medicaid: Complete Services Breakdown

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

43 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2392	Post 2 surface resin‑based composite	77,270	$130	$9.7M
D2930	N/A	56,020	$160	$8.9M
D1120	Prophylaxis–child	182,080	$40	$8M
D1351	Sealant - per tooth	219,480	$30	$7.5M
D0120	Periodic oral evaluation - established patient	180,580	$30	$5.4M
D2391	Resin‑based composite – one surface, posterior	52,110	$100	$5M
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	55,610	$60	$3.4M
D0150	Comprehensive oral evaluation – new or established patient	61,540	$50	$3.3M
D7240	N/A	11,060	$290	$3.2M
D1208	Topical application of fluoride - excluding varnish	122,000	$20	$2.8M

Showing 1–10 of 43

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Maryland Distribution

Dr. David M. Vieth 2, P.C. — 22 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maryland

Full comparison — all codes billed, vs. Maryland median

43 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D8080	N/A	10	70	120	$1,040	$385.9K
D2930	N/A	1	140	530	$160	$362K
D7240	N/A	1	70	400	$280	$345.9K
D8670	N/A	17	150	1,950	$70	$335.3K
D3330	N/A	27	80	120	$690	$254.8K
D2392	Post 2 surface resin‑based composite	1	670	330	$120	$172.5K
D9223	N/A	22	60	350	$120	$169K
D1351	Sealant - per tooth	1	410	890	$30	$165.8K
D1120	Prophylaxis–child	1	820	450	$40	$141.3K
D2934	N/A	1	10	1,000	$170	$140.2K

Showing 1–10 of 43

Related Providers

Other providers that share a Tax Identification Number (TIN) with Dr. David M. Vieth 2, P.C., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tremont Road Dental, PC	VA	General Practice Dentistry	$0	$85M
Dr. David M. Vieth 2, PC	MD	General Practice Dentistry	$0	$35.2M
Hattiesburg Road Dental, P.C.	MS	General Practice Dentistry	$0	$8.5M
Ahmed Tamim	DC	Oral and Maxillofacial Surgery (Dentist)	$0	$68.3K
John Choi	DC	General Practice Dentistry	$0	$13.5K
Latoya Ambrose	DC	General Practice Dentistry	$0	$12.3K

Nearby Providers

Other providers in the same ZIP code as Dr. David M. Vieth 2, P.C., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Potomac Case Management Services, Inc.	MD	Case Management Agency	$0	$28M
Phoenix Health Center LLC	MD	Methadone Clinic	$507.7K	$21.4M
Awakenings Recovery Center, LLC	MD	Substance Abuse Rehabilitation Facility	$0	$19.8M
Qualitycare Internet, LLP	MD	Mental Health Counselor	$0	$19.4M
Walnut Street Community Health Center, Inc.	MD	Federally Qualified Health Center (FQHC)	$0	$19.3M
Board Of Education Of Washington County	MD	Local Education Agency (LEA)	$0	$19.1M
Center For Pain Management, LLC	MD	Interventional Pain Medicine Physician	$0	$18.9M
Metro Treatment Of Maryland LP	MD	Community/Behavioral Health Agency	$361K	$16.6M
The Western Maryland Counseling Center	MD	Community/Behavioral Health Agency	$0	$16.5M
David Warrow	MD	Ophthalmology Physician	$15.1M	$8.3K

Dr. David M. Vieth 2, P.C. — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References