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

Why is the Medicaid comparison limited to New Hampshire 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. New Hampshire (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.

Mountain View Dental PA (NPI 1407901697)

Field	Value
Entity Type	Organization
Organization	Mountain View Dental PA
Address	8 Clover Lane
City	Whitefield
State	NH
ZIP	03598
Taxonomy	General Practice Dentistry
NPI Enumerated	January 25, 2007

Payer Source	Total Paid
Medicaid	$127K
Medicare	$0

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D0120	Periodic oral evaluation - established patient	1,670	$30	$50.2K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	1,580	$20	$28.4K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	430	$50	$22.8K
D1120	Prophylaxis–child	540	$40	$18.9K
D0274	N/A	210	$30	$6.7K
D1330	N/A	630	$0	$0
D0431	N/A	280	$0	$0

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. New Hampshire Distribution

Mountain View Dental PA — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Hampshire

Full comparison — all codes billed, vs. New Hampshire median

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D1120	Prophylaxis–child	68	160	250	$40	$89.7K
D0120	Periodic oral evaluation - established patient	44	190	240	$30	$73.2K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	54	140	200	$50	$51.6K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	26	100	250	$20	$46.5K
D0274	N/A	41	100	140	$30	$32.8K
D1330	N/A	7	30	210	$10	$6.2K
D0431	N/A	1	10	280	$0	$0

Nearby Providers

Other providers in the same ZIP code as Mountain View Dental PA, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Weeks Medical Center	NH	Clinic/Center	$0	$3.5M
Morrison Hospital Association	NH	Skilled Nursing Facility	$0	$1.6M
White Mountains Regional School District	NH	Local Education Agency (LEA)	$0	$335.3K
Ammonoosuc Community Health Services, Inc	NH	Federally Qualified Health Center (FQHC)	$0	$229.8K
Town Of Whitefield	NH	Land Ambulance	$82.3K	$3.1K
John Howell	NH	Diagnostic Radiology Physician	$20K	$0
Melissa Buddensee	NH	Family Medicine Physician	$20K	$0

Mountain View Dental PA — Billing Profile & Reimbursement Data

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Mountain View Dental PA — 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