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

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

Georgeann C. Vargas Dds, Ltd (NPI 1396104097)

Field	Value
Entity Type	Organization
Organization	Georgeann C. Vargas Dds, Ltd
Address	601 State Road 35
City	Centuria
State	WI
ZIP	54824
Taxonomy	Dental Clinic/Center
NPI Enumerated	February 23, 2016

Payer Source	Total Paid
Medicaid	$2.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

22 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	8,550	$40	$333.5K
D8670	N/A	3,760	$90	$323.6K
D2150	Amalgam - two surfaces, primary or permanent	3,340	$80	$257.3K
D0120	Periodic oral evaluation - established patient	8,920	$30	$222.9K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	1,770	$110	$187.7K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	8,500	$20	$178.4K
D0140	Limited oral evaluation – problem focused	3,480	$50	$177.5K
D0210	Intraoral - complete series of radiographic images	2,000	$60	$122K
D1120	Prophylaxis–child	1,870	$40	$82.2K
D0274	N/A	2,480	$30	$69.3K

Showing 1–10 of 22

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Wisconsin Distribution

Georgeann C. Vargas Dds, Ltd — 1 of 21 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wisconsin

Full comparison — all codes billed, vs. Wisconsin median

22 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D8670	N/A	27	80	2,010	$110	$635.7K
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…	114	120	490	$100	$179.5K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	59	220	430	$50	$111.4K
D1351	Sealant - per tooth	308	340	1,020	$20	$90.2K
D1120	Prophylaxis–child	127	520	460	$30	$62.6K
D0210	Intraoral - complete series of radiographic images	57	270	360	$40	$60K
D0120	Periodic oral evaluation - established patient	40	500	480	$20	$56K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	29	500	350	$30	$51.5K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	56	540	560	$10	$50.8K
D0330	N/A	204	270	200	$40	$42.9K

Showing 1–10 of 22

Georgeann C. Vargas Dds, Ltd — Billing Profile & Reimbursement Data

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Georgeann C. Vargas Dds, Ltd — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Frequently Asked Questions

References