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

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

Advantage Dental Oral Health And Vision Center Of Alabama, P.C. (NPI 1407133978)

Field	Value
Entity Type	Organization
Organization	Advantage Dental Oral Health And Vision Center Of Alabama, P.C.
Address	1572 Mill Sq
City	Alexander City
State	AL
ZIP	35010
Taxonomy	Pediatric Dentistry
NPI Enumerated	November 10, 2011

Payer Source	Total Paid
Medicaid	$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.

29 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1120	Prophylaxis–child	13,730	$30	$343.1K
D0120	Periodic oral evaluation - established patient	17,850	$20	$303.5K
D1354	N/A	14,070	$20	$295.5K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	16,540	$20	$281.1K
D2392	Post 2 surface resin‑based composite	3,780	$70	$264.5K
D1351	Sealant - per tooth	10,730	$20	$236.1K
D0330	N/A	4,570	$40	$187.3K
D1999	N/A	9,890	$20	$178.1K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	4,910	$30	$152.2K
D0272	N/A	10,490	$10	$146.9K

Showing 1–10 of 29

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Alabama Distribution

Advantage Dental Oral Health And Vision Center Of Alabama, P.C. — 1 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. Alabama median

29 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D7240	N/A	43	60	610	$180	$336.5K
D2930	N/A	78	120	1,240	$90	$233.9K
D1354	N/A	15	90	1,190	$20	$210.5K
D2392	Post 2 surface resin‑based composite	47	280	520	$70	$144.9K
D1120	Prophylaxis–child	45	520	810	$30	$104.3K
D2391	Resin‑based composite – one surface, posterior	57	250	380	$60	$91.8K
D1999	N/A	45	300	1,280	$20	$81.5K
D2393	Resin-based composite, three surfaces, posterior	73	90	170	$90	$78K
D0120	Periodic oral evaluation - established patient	38	620	810	$20	$77.2K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	60	190	490	$50	$76.2K

Showing 1–10 of 29

Related Providers

Other providers that share a Tax Identification Number (TIN) with Advantage Dental Oral Health And Vision Center Of Alabama, P.C., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Advantage Dental Oral Health And Vision Center Of Alabama, P.C.	AL	Pediatric Dentistry	$0	$9.3M
Advantage Dental Oral Health And Vision Center Of Alabama, P.C.	AL	Pediatric Dentistry	$0	$9.1M
Advantage Dental Oral Health And Vision Center Of Alabama, P.C.	AL	Pediatric Dentistry	$0	$7M
Advantage Dental Oral Health And Vision Center Of Alabama, P.C.	AL	Pediatric Dentistry	$0	$6.3M
Advantage Dental Oral Health And Vision Center Of Alabama, P.C.	AL	Pediatric Dentistry	$0	$4.6M
Advantage Dental Oral Health And Vision Center Of Alabama, P.C.	AL	General Practice Dentistry	$0	$3.9M
Advantage Dental Oral Health And Vision Center Of Alabama, P.C.	AL	Pediatric Dentistry	$0	$3.1M
Advantage Dental Oral Health And Vision Center Of Alabama, P.C.	AL	Pediatric Dentistry	$0	$2.1M
Dallas Wilcox	AL	Family Medicine Physician	$87.5K	$0
Juan Saxon	AL	Family Medicine Physician	$43.4K	$0

Nearby Providers

Other providers in the same ZIP code as Advantage Dental Oral Health And Vision Center Of Alabama, P.C., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pediatric Associates Of Alexander City PC	AL	Pediatrics Physician	$0	$8.4M
Russell Hospital Corporation	AL	General Acute Care Hospital	$0	$3.5M
Southern Head & Neck Surgery	AL	Otolaryngic Allergy Physician	$0	$2.1M
Tallapoosa County Health Dept-alex City Fp Clinic	AL	Public Health or Welfare Agency	$0	$1.8M
Nes Tennessee Inc	AL	Emergency Medicine Physician	$0	$1.4M
Alexander City Amb Ser	AL	Land Ambulance	$511.4K	$753.6K
Alexander City Dermatology	AL	Dermatology Physician	$0	$940K
Heritage Pediatrics LLC	AL	Pediatrics Physician	$0	$892.3K
Basel Alrefai	AL	Cardiovascular Disease Physician	$834.7K	$0
Wanda Patterson	AL	Family Nurse Practitioner	$817.4K	$0

Advantage Dental Oral Health And Vision Center Of Alabama, P.C. — Billing Profile & Reimbursement Data

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Advantage Dental Oral Health And Vision Center Of Alabama, P.C. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References