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

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

Danville Dental Group Plc (NPI 1386053916)

Field	Value
Entity Type	Organization
Organization	Danville Dental Group Plc
Address	31 Mountain View Drive
City	Danville
State	VT
ZIP	05828
Taxonomy	General Practice Dentistry
NPI Enumerated	August 7, 2014

Payer Source	Total Paid
Medicaid	$59.2K
Medicare	$0

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D0120	Periodic oral evaluation - established patient	1,010	$30	$28.3K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	350	$60	$19.4K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	370	$20	$8.1K
D1120	Prophylaxis–child	80	$40	$3.4K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Vermont Distribution

Danville Dental Group Plc — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Vermont

Full comparison — all codes billed, vs. Vermont median

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	90	150	540	$50	$73.5K
D1120	Prophylaxis–child	79	110	220	$40	$59.2K
D0120	Periodic oral evaluation - established patient	61	160	720	$30	$57.8K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	68	120	500	$20	$53.5K

Nearby Providers

Other providers in the same ZIP code as Danville Dental Group Plc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jeremy Ste. Marie	VT	Chiropractor	$14.2K	$63.5K
Marjorie Ste Marie	VT	Chiropractor	$6.8K	$50.5K
Jay Dege	VT	Family Medicine Physician	$1.8K	$0
Timothy Tanner	VT	Internal Medicine Physician	$1.7K	$0
Kathryn Burnell	VT	Family Nurse Practitioner	$1.1K	$0

Danville Dental Group Plc — Billing Profile & Reimbursement Data

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Danville Dental Group Plc — 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