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

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

Tremont Road Dental Super, P.C. (NPI 1386982288)

Field	Value
Entity Type	Organization
Organization	Tremont Road Dental Super, P.C.
Address	5900 E Virginia Beach Blvd Ste 70
City	Norfolk
State	VA
ZIP	23502
Taxonomy	General Practice Dentistry
NPI Enumerated	January 28, 2013

Payer Source	Total Paid
Medicaid	$63.5M
Medicare	$0

Key Findings

TREMONT ROAD DENTAL SUPER, P.C. is effectively a Medicaid-focused operation: it has no Medicare billing on file and reports $63.5M in lifetime Medicaid revenue. Its NPI was enumerated 2013-01-28 (~13 years ago), indicating more than a decade of activity under the current enumeration.

Revenue is concentrated in a small set of codes: the provider’s top three Medicaid codes (D8670, D1120, D2391) account for 28.3% of total Medicaid revenue. Those top three line items are high-dollar contributors individually — D8670: 14.9K claims, $431 avg paid/claim, $6.4M revenue (10.5%); D1120: 175.9K claims, $33 avg paid/claim, $5.8M revenue (9.5%); and D2391: 69.1K claims, $73 avg paid/claim, $5M revenue (8.3%).

The code mix indicates a high-volume general dentistry practice with heavy preventive and restorative activity: D1120 (Prophylaxis–child), D1206 (Topical Fluoride Treatment), D0120 (Periodic oral evaluation - established patient), and D2391 (resin-based composite restoration) all appear among the top codes with large claim counts. This pattern — large pediatric prophylaxis and sealant volumes alongside high volumes of posterior composite restorations — is consistent with a practice focused on routine preventive care and common restorative procedures for a predominantly Medicaid population.

TREMONT ROAD DENTAL SUPER is a dominant in-state performer on many measures: multiple top codes are flagged as “extreme outlier” or in the 100th percentile and the provider frequently ranks at or near the top of in-state lists. Examples include D1120 (ranks #2 of 841 providers, 100th percentile; extreme outlier), D2391 (ranks #2 of 556, 100th percentile; extreme outlier), D8080 (ranks #1 of 55, 100th percentile; extreme outlier), and D9230 (ranks #1 of 322 providers, 100th percentile; extreme outlier).

Several high-dollar or specialty-reimbursed codes contribute materially to revenue, suggesting capacity to deliver more complex services: D8080 (no description available) generated $3.7M at a $1039 avg paid/claim and ranks #1 in-state, and D3330 produced $1M at a $660 avg paid/claim. Although descriptions for some high-revenue codes are not provided, the reported avg paid/claim values indicate meaningful revenue from higher-reimbursement procedures alongside the high-volume preventive work.

Operational scale is substantial based on claim counts across many codes: examples include D1120 at 175.9K claims, D1206 at 168.3K claims, D0120 at 163.4K claims, and D0220 at 93.2K claims. These large claim volumes imply high patient throughput and/or a multi-provider or multi-site delivery model, which aligns with the facility’s position as an in-state volume outlier on numerous codes.

The provider’s revenue profile creates concentration and payer dependency considerations: with $63.5M all coming from Medicaid and the top three codes accounting for 28.3% of Medicaid revenue, the practice’s financial performance is highly sensitive to Medicaid coverage rules and reimbursement changes that affect preventive and common restorative service lines. That concentration underscores potential operational exposure to state Medicaid policy shifts impacting codes like D1120, D1206, and D2391.

Medicaid: Complete Services Breakdown

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

47 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D8670	N/A	14,890	$430	$6.4M
D1120	Prophylaxis–child	175,930	$30	$5.8M
D2391	Resin‑based composite – one surface, posterior	69,110	$70	$5M
D2392	Post 2 surface resin‑based composite	55,260	$90	$4.9M
D8080	N/A	3,540	$1,040	$3.7M
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	168,340	$20	$3.4M
D0120	Periodic oral evaluation - established patient	163,410	$20	$3.3M
D2930	N/A	23,180	$140	$3.2M
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	60,270	$50	$2.8M
D1351	Sealant - per tooth	75,240	$30	$2.4M

Showing 1–10 of 47

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Virginia Distribution

Tremont Road Dental Super, P.C. — 24 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. Virginia median

47 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2934	N/A	2	10	1,590	$150	$434.8K
D8670	N/A	2	170	370	$340	$415.5K
D8080	N/A	1	60	140	$950	$333.8K
D7240	N/A	3	70	380	$200	$326.5K
D2930	N/A	2	150	330	$120	$226.8K
D9223	N/A	29	90	920	$60	$165.5K
D3330	N/A	5	70	70	$480	$157.3K
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	250	220	$90	$97.1K
D2392	Post 2 surface resin‑based composite	2	690	280	$70	$88.1K
D8660	N/A	2	110	110	$170	$86.1K

Showing 1–10 of 47

Nearby Providers

Other providers in the same ZIP code as Tremont Road Dental Super, P.C., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sentara Hospitals	VA	General Acute Care Hospital	$0	$79.7M
Sentara Medical Group	VA	Family Medicine Physician	$0	$48.7M
Emergency Physicians Of Tidewater	VA	Emergency Medicine Physician	$0	$47.9M
Community Alternative Inc	VA	Community/Behavioral Health Agency	$0	$44.3M
Life's Journey	VA	Adult Mental Health Clinic/Center	$0	$24.4M
Keys To Success Family & Developmental Services	VA	Community/Behavioral Health Agency	$0	$16.1M
Advantage Home Care, LLC	VA	Home Health Agency	$0	$15.7M
National Counseling Group, Inc	VA	Mental Health Counselor	$0	$14.5M
Childrens Medical Group Inc	VA	Pediatrics Physician	$0	$9.1M
Pediatric Services Of America, LLC	VA	Nursing Care Agency	$0	$9.1M

Tremont Road Dental Super, P.C. — Billing Profile & Reimbursement Data

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Tremont Road Dental Super, 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

Nearby Providers

Frequently Asked Questions

References