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

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

Thompson Dmd PLLC (NPI 1396023164)

Field	Value
Entity Type	Organization
Organization	Thompson Dmd PLLC
Address	3217 Picard Pl
City	Sunnyside
State	WA
ZIP	98944
Taxonomy	Dentist
NPI Enumerated	July 28, 2011

Payer Source	Total Paid
Medicaid	$36.6M
Medicare	$0

Key Findings

This provider is effectively single‑payer on record: there is no Medicare billing on file while lifetime Medicaid revenue totals $36.6M, indicating the practice’s revenue and operations are funded almost entirely through Medicaid. Analysts should treat Medicaid as the dominant payer when evaluating this entity’s patient mix and contracting opportunities.

Revenue is concentrated in a small set of dental procedures: the top 3 Medicaid codes by revenue account for 27.2% of this provider's total Medicaid revenue, led by D7210 ($4.5M, 13.6%), D0120 ($2.4M, 7.1%), and D2150 ($2.1M, 6.5%). This concentration signals that a minority of service lines deliver a disproportionate share of Medicaid income and should be prioritized in reimbursement or utilization reviews.

The code mix and descriptions point to a high‑volume general dentistry operation that performs both preventive/pediatric care and operative/surgical procedures. High revenue and claim counts for evaluation and preventive codes such as D0120, D1206, D1120, and D1351 alongside major restorative and extraction codes like D2150 and D7210 indicate the practice provides comprehensive dental services from cleanings and sealants through restorations and extractions.

Preventive and pediatric services appear to be a major strategic focus: D1206 (98.7K claims, $1.8M revenue), D1120 (75.6K claims, $1.7M revenue), and D1351 (84.7K claims, $1.6M revenue) are all very high‑volume and ranked in the 100th percentile statewide as extreme outliers. This pattern suggests a large pediatric and preventive caseload — plausibly a clinic-style operation, school-based contract, or a large family practice with heavy emphasis on childhood prevention.

Operative and surgical volume is also outsized: D7210 ($4.5M revenue, ranks #2 of 187 providers in-state, 99th percentile; labeled an extreme outlier) and D7140 ($1M revenue, ranks #2 of 388 providers in-state, 100th percentile) show substantial extraction activity including surgical procedures. The combination of high extraction counts and restorative codes indicates the practice manages both acute/problem-focused visits and follow‑up restorative care.

Restorative dentistry drives meaningful share of revenue beyond extractions: multiple amalgam and composite codes (D2150, D2140, D2392, D2391, D2160) appear among top revenue generators, with several ranked #1 in-state for their code and labeled extreme outliers. This profile points to a throughput model that performs a large volume of basic restorative work, making the provider a go‑to source for common operative procedures under Medicaid.

Competitive standing within Washington is dominant for many services: the provider ranks #1 of 59 for D2150, #1 of 24 for D2160, #1 of 151 for D2331, and sits in the 99th–100th percentile on numerous other codes, which the source labels as extreme outliers. For payer negotiations, network planning, or capacity analyses, treat this entity as a major statewide participant for several high‑volume pediatric, preventive, and restorative codes.

The NPI was enumerated on 2011-07-28 (~15 years ago), indicating a sustained presence in the market; combined with the large Medicaid volumes and extreme percentile ranks, this tenure supports the interpretation of an established, high‑throughput dental practice rather than a newly opened clinic. Analysts should consider capacity, staffing, and referral flows when modeling growth or contracting scenarios for this provider.

Medicaid: Complete Services Breakdown

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

59 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	47,490	$100	$4.5M
D0120	Periodic oral evaluation - established patient	90,430	$30	$2.4M
D2150	Amalgam - two surfaces, primary or permanent	34,600	$60	$2.1M
D2930	N/A	13,190	$140	$1.8M
D2392	Post 2 surface resin‑based composite	27,350	$70	$1.8M
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	98,740	$20	$1.8M
D1120	Prophylaxis–child	75,620	$20	$1.7M
D1351	Sealant - per tooth	84,670	$20	$1.6M
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	33,740	$40	$1.3M
D0150	Comprehensive oral evaluation – new or established patient	36,280	$30	$1.2M

Showing 1–10 of 59

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Washington Distribution

Thompson Dmd PLLC — 22 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. Washington median

59 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	10	160	1,710	$140	$531.8K
D7240	N/A	11	70	990	$150	$409.8K
D2929	N/A	26	30	620	$240	$350.5K
D5110	N/A	2	70	180	$430	$237.5K
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	190	320	$70	$197.1K
D2392	Post 2 surface resin‑based composite	4	540	990	$60	$188.6K
D5120	N/A	1	60	130	$440	$180.6K
D2150	Amalgam - two surfaces, primary or permanent	1	60	310	$50	$137.2K
D7230	N/A	6	50	340	$130	$132.9K
D0120	Periodic oral evaluation - established patient	3	920	690	$20	$131.3K

Showing 1–10 of 59

Related Providers

Other providers that share a Tax Identification Number (TIN) with Thompson Dmd PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Thompson. Ferguson. Steinhart. James, PLLC	WA	Dentist	$0	$12.3M
Thompson.ferguson.pllc	WA	Dentist	$0	$8.5M
Thompson.ferguson.steinhart.james.leavitt,pllc	WA	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$4.2M

Nearby Providers

Other providers in the same ZIP code as Thompson Dmd PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sunnyside Community Hospital Association	WA	Critical Access Hospital	$0	$55.1M
Sunnyside Community Hospital Association	WA	Rural Health Clinic/Center	$0	$7M
Total Renal Care Inc	WA	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$6.1M
Sunnyside Community Hospital Association	WA	Rural Health Clinic/Center	$0	$5.8M
Swofford & Halma Clinic, Inc. P.s.	WA	Family Medicine Physician	$0	$5.4M
Sunnyside Community Hospital Association	WA	Rural Health Clinic/Center	$0	$4.4M
Mid-valley Community Clinic, PLLC	WA	Family Medicine Physician	$0	$4.4M
Sunnyside Emergency Group A Professional LLC	WA	Emergency Medicine Physician	$0	$3.8M
Derek S Weaver Do PLLC	WA	Family Medicine Physician	$0	$2.6M
B Martin And G Martin PLLC	WA	Dentist	$0	$2.6M

Thompson Dmd PLLC — Billing Profile & Reimbursement Data

Sign up for Thompson Dmd PLLC — Billing Profile & Reimbursement Data policy alerts

Thompson Dmd PLLC — Billing Profile & Reimbursement Data

Sign up for Thompson Dmd PLLC — Billing Profile & Reimbursement Data policy alerts

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