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

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

Worcester Hills Dental PC (NPI 1407263908)

Field	Value
Entity Type	Organization
Organization	Worcester Hills Dental PC
Address	290 Park Ave
City	Worcester
State	MA
ZIP	01609
Taxonomy	General Practice Dentistry
NPI Enumerated	July 16, 2014

Payer Source	Total Paid
Medicaid	$11.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

33 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2392	Post 2 surface resin‑based composite	12,770	$110	$1.4M
D1120	Prophylaxis–child	26,190	$50	$1.3M
D8670	N/A	5,330	$240	$1.3M
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	18,500	$70	$1.2M
D0120	Periodic oral evaluation - established patient	41,810	$30	$1.2M
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	38,370	$30	$997.5K
D1351	Sealant - per tooth	22,070	$40	$882.9K
D2391	Resin‑based composite – one surface, posterior	8,560	$90	$727.6K
D0274	N/A	12,790	$40	$537.2K
D0272	N/A	10,810	$30	$324.4K

Showing 1–10 of 33

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Massachusetts Distribution

Worcester Hills Dental PC — 10 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Massachusetts

Full comparison — all codes billed, vs. Massachusetts median

33 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D8670	N/A	42	260	1,530	$230	$664.9K
D8080	N/A	54	90	170	$1,100	$416K
D1120	Prophylaxis–child	13	1,050	470	$50	$119.2K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	28	1,480	900	$50	$118.2K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	190	440	410	$70	$115.7K
D2392	Post 2 surface resin‑based composite	11	780	420	$80	$109.6K
D1351	Sealant - per tooth	10	450	490	$40	$101.3K
D8680	N/A	26	130	350	$90	$89.7K
D2391	Resin‑based composite – one surface, posterior	23	660	340	$60	$84.9K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	8	690	460	$30	$81.1K

Showing 1–10 of 33

Nearby Providers

Other providers in the same ZIP code as Worcester Hills Dental PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Counseling & Assessment Clinic Of Worcester LLC	MA	Community/Behavioral Health Agency	$0	$17.5M
Wells Health Care LLC	MA	Home Health Agency	$0	$11.5M
Jewish Healthcare Center, Inc.	MA	Community Based Hospice Care Agency	$0	$8.2M
Prestige Health Care Services Inc	MA	Home Health Agency	$0	$7.4M
Family Care Adh	MA	Adult Day Care Clinic/Center	$0	$7.3M
Anas Al Najjar	MA	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$6.3M
Worcester Pediatric Dental Group LLC	MA	Pediatric Dentistry	$0	$5.9M
Melinda Thacker	MA	Otolaryngology Physician	$122.6K	$3K
Jonathon Sillman	MA	Otolaryngology Physician	$61.1K	$4.4K
Susan Foley	MA	Audiologist	$22K	$0

Worcester Hills Dental PC — Billing Profile & Reimbursement Data

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Worcester Hills Dental PC — 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