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.

Hathaway Road Dental, PC (NPI 1407943954)

Field	Value
Entity Type	Organization
Organization	Hathaway Road Dental, PC
Address	933 Pleasant Street
City	Fall River
State	MA
ZIP	02723
Taxonomy	General Practice Dentistry
NPI Enumerated	October 6, 2006

Payer Source	Total Paid
Medicaid	$7.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

37 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D8670	N/A	3,300	$250	$828.8K
D1120	Prophylaxis–child	15,090	$50	$784.8K
D2392	Post 2 surface resin‑based composite	6,260	$110	$656.8K
D0120	Periodic oral evaluation - established patient	19,550	$30	$566.8K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	20,760	$30	$560.4K
D1351	Sealant - per tooth	13,630	$40	$558.7K
D2930	N/A	2,780	$200	$558K
D2391	Resin‑based composite – one surface, posterior	6,370	$90	$541.2K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	7,390	$70	$495.2K
D0274	N/A	7,850	$40	$329.9K

Showing 1–10 of 37

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

Hathaway Road Dental, PC — 9 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

37 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D8670	N/A	64	260	1,530	$230	$664.9K
D8080	N/A	55	90	170	$1,100	$416K
D2740	N/A	353	410	280	$660	$338.1K
D2930	N/A	19	90	830	$180	$325.7K
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…	61	370	300	$130	$138.7K
D1120	Prophylaxis–child	45	1,050	470	$50	$119.2K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	115	1,480	900	$50	$118.2K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	157	440	410	$70	$115.7K
D2392	Post 2 surface resin‑based composite	38	780	420	$80	$109.6K
D1351	Sealant - per tooth	22	450	490	$40	$101.3K

Showing 1–10 of 37

Related Providers

Other providers that share a Tax Identification Number (TIN) with Hathaway Road Dental, PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hathaway Road Dental, PC	MA	General Practice Dentistry	$0	$18.8M
Hathaway Road Dental, PC	MA	General Practice Dentistry	$0	$10.2M
Hathaway Road Dental, PC	MA	General Practice Dentistry	$0	$9.1M
Hathaway Road Dental, PC	MA	General Practice Dentistry	$0	$8.7M
Hathaway Road Dental, PC	MA	General Practice Dentistry	$0	$7.2M
Hathaway Road Dental, PC	MA	General Practice Dentistry	$0	$6.1M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Commonwealth Of Massachusetts	MA	Case Management Agency	$0	$218.1M
Beacon Hospice, LLC	MA	Community Based Hospice Care Agency	$0	$75M
Bristol Elder Services, Inc.	MA	Case Management Agency	$0	$50.9M
People, Incorporated	MA	Home Health Agency	$0	$22.8M
Healthfirst Family Care Center Inc.	MA	Federally Qualified Health Center (FQHC)	$0	$18.6M
Vistacare Of Boston, LLC	MA	Community Based Hospice Care Agency	$0	$12.2M
Christopher Tippins	MA	Physical Therapist	$83.3K	$0

Hathaway Road Dental, PC — Billing Profile & Reimbursement Data

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Hathaway Road 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

Related Providers

Nearby Providers

Frequently Asked Questions

References