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

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

Carol Halloran (NPI 1407831746)

Field	Value
Entity Type	Individual
Organization	Carol Halloran
Address	1950 Plymouth Ave
City	Waterloo
State	IA
ZIP	50702
Taxonomy	Dentist
NPI Enumerated	December 9, 2005

Payer Source	Total Paid
Medicaid	$1.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

27 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	5,190	$40	$191.9K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	11,050	$20	$176.8K
D1351	Sealant - per tooth	6,700	$20	$147.4K
D0120	Periodic oral evaluation - established patient	7,900	$20	$142.1K
D1120	Prophylaxis–child	3,820	$30	$107K
D0274	N/A	4,330	$20	$99.6K
D2392	Post 2 surface resin‑based composite	1,120	$80	$88.4K
D2150	Amalgam - two surfaces, primary or permanent	1,350	$60	$76.7K
D4910	Periodontal maintenance procedures	1,310	$60	$76K
D0150	Comprehensive oral evaluation – new or established patient	3,040	$20	$72.9K

Showing 1–10 of 27

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Iowa Distribution

Carol Halloran — 1 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Iowa

Full comparison — all codes billed, vs. Iowa median

27 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2740	N/A	40	50	60	$360	$101.8K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	154	170	330	$50	$88.3K
D1351	Sealant - per tooth	24	190	750	$20	$60.2K
D2392	Post 2 surface resin‑based composite	47	210	230	$60	$58.6K
D4341	Periodontal scaling and root planing - four or more teeth per quadrant	21	50	210	$70	$46K
D1120	Prophylaxis–child	64	580	310	$20	$43.3K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	33	630	370	$30	$36.8K
D2391	Resin‑based composite – one surface, posterior	51	190	210	$40	$34.7K
D0120	Periodic oral evaluation - established patient	45	830	530	$20	$34.1K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	28	630	500	$10	$33.3K

Showing 1–10 of 27

Nearby Providers

Other providers in the same ZIP code as Carol Halloran, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Covenant Medical Center Inc	IA	General Acute Care Hospital	$0	$63.2M
Covenant Medical Center Inc	IA	Family Medicine Physician	$0	$21.9M
Black Hawk-grundy Mental Health Center Inc.	IA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$20.7M
Waterloo Community School District	IA	Local Education Agency (LEA)	$0	$19.8M
Iowa Emergency Physicians LLP	IA	Emergency Medicine Physician	$0	$5.1M
Jyoti Chowdhury	IA	Pediatric Dentistry	$0	$2.4M
Covenant Medical Center Inc	IA	Durable Medical Equipment & Medical Supplies	$0	$2.1M
Michael Letkewicz	IA	Oral and Maxillofacial Surgery (Dentist)	$0	$1.7M
Metropolitan Transit Authority Of Black Hawk County	IA	Bus	$0	$1.7M
Michael Puk	IA	Ophthalmology Physician	$1.6M	$0

Carol Halloran — Billing Profile & Reimbursement Data

Sign up for Carol Halloran — Billing Profile & Reimbursement Data policy alerts

Carol Halloran — Billing Profile & Reimbursement Data

Sign up for Carol Halloran — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References