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.

Pdom Havre De Grace (NPI 1396000790)

Field	Value
Entity Type	Organization
Organization	Pdom Havre De Grace
Address	2021 Pulaski Highway Units A And B
City	Havre De Grace
State	MD
ZIP	21078
Taxonomy	Dentist
NPI Enumerated	July 11, 2012

Payer Source	Total Paid
Medicaid	$4.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

25 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D8670	N/A	9,080	$70	$671.6K
D1120	Prophylaxis–child	14,970	$40	$643.6K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	19,460	$30	$486.4K
D0120	Periodic oral evaluation - established patient	16,090	$30	$466.7K
D1351	Sealant - per tooth	13,160	$30	$447.4K
D2392	Post 2 surface resin‑based composite	2,680	$120	$319.3K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	3,330	$60	$196.5K
D2391	Resin‑based composite – one surface, posterior	1,720	$90	$162.1K
D0150	Comprehensive oral evaluation – new or established patient	2,360	$50	$122.6K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	1,060	$110	$111.6K

Showing 1–10 of 25

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

Pdom Havre De Grace — 2 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

25 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D8080	N/A	52	70	120	$1,040	$385.9K
D2930	N/A	75	140	530	$160	$362K
D8670	N/A	22	150	1,950	$70	$335.3K
D2392	Post 2 surface resin‑based composite	79	670	330	$120	$172.5K
D1351	Sealant - per tooth	38	410	890	$30	$165.8K
D1120	Prophylaxis–child	46	820	450	$40	$141.3K
D2391	Resin‑based composite – one surface, posterior	76	510	250	$90	$106K
D8660	N/A	29	100	250	$150	$105.3K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	84	390	250	$100	$93.2K
D2393	Resin-based composite, three surfaces, posterior	306	340	160	$160	$89.1K

Showing 1–10 of 25

Nearby Providers

Other providers in the same ZIP code as Pdom Havre De Grace, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Upper Bay Counseling And Support Services, Inc	MD	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$7.5M
Upper Bay Counseling And Support Services, Inc	MD	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$4.5M
Hyon Schneider	MD	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$511.1K	$59K
Nicole Bright	MD	Dermatology Physician	$477.1K	$0
Jonathan Seidenberg	MD	Ophthalmology Physician	$473.4K	$0
Innovative Surgery Center, LLC	MD	Ambulatory Surgical Clinic/Center	$440.7K	$31.1K
Hi Sim	MD	Internal Medicine Physician	$321.3K	$0
Eugene Protzko	MD	Ophthalmology Physician	$303.9K	$0
Benjamin Lee	MD	Internal Medicine Physician	$294.4K	$0
Michael Presti	MD	Podiatrist	$284.8K	$0

Pdom Havre De Grace — Billing Profile & Reimbursement Data

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Pdom Havre De Grace — 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