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

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

Austinbluffs Dental Prof. LLC (NPI 1427360254)

Field	Value
Entity Type	Organization
Organization	Austinbluffs Dental Prof. LLC
Address	3952 North Academy
City	Colorado Springs
State	CO
ZIP	80917
Taxonomy	General Practice Dentistry
NPI Enumerated	July 9, 2010

Payer Source	Total Paid
Medicaid	$4.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

27 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2392	Post 2 surface resin‑based composite	8,790	$130	$1.2M
D2391	Resin‑based composite – one surface, posterior	6,300	$110	$661.6K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	4,830	$100	$463.8K
D2393	Resin-based composite, three surfaces, posterior	2,480	$160	$397.4K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	7,060	$40	$303.7K
D0140	Limited oral evaluation – problem focused	6,040	$30	$205.4K
D0120	Periodic oral evaluation - established patient	7,930	$20	$182.4K
D0150	Comprehensive oral evaluation – new or established patient	4,630	$40	$180.6K
D0210	Intraoral - complete series of radiographic images	2,150	$80	$163.6K
D0274	N/A	5,380	$30	$156K

Showing 1–10 of 27

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Colorado Distribution

Austinbluffs Dental Prof. LLC — 10 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Colorado

Full comparison — all codes billed, vs. Colorado median

27 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2740	N/A	132	210	150	$620	$224.1K
D2392	Post 2 surface resin‑based composite	12	690	290	$130	$148K
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…	184	190	170	$150	$101.1K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	17	420	290	$90	$90.4K
D2393	Resin-based composite, three surfaces, posterior	11	310	120	$160	$84.5K
D2391	Resin‑based composite – one surface, posterior	10	530	200	$100	$83.5K
D1120	Prophylaxis–child	477	690	300	$30	$82.1K
D4342	N/A	69	160	230	$100	$60.5K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	39	1,130	300	$50	$59.4K
D0120	Periodic oral evaluation - established patient	83	1,200	430	$20	$56.5K

Showing 1–10 of 27

Nearby Providers

Other providers in the same ZIP code as Austinbluffs Dental Prof. LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Peak Vista Community Health Centers	CO	Federally Qualified Health Center (FQHC)	$0	$21.7M
Peak Vista Community Health Centers	CO	Federally Qualified Health Center (FQHC)	$0	$16.9M
Peak Vista Community Health Centers	CO	Federally Qualified Health Center (FQHC)	$0	$7.2M
Peak Vista Community Health Centers	CO	Federally Qualified Health Center (FQHC)	$0	$6.6M
Child Development Center Of Colorado Springs, Inc.	CO	Prosthetic/Orthotic Supplier	$0	$5.2M
Apex Physical Medicine And Rehabilitation Professional LLC	CO	Physical Medicine & Rehabilitation Physician	$0	$4.5M
Ambulnz Co, LLC	CO	Ambulance	$717.3K	$3.7M
Smile Two Professionals	CO	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$3.9M
Peak Vista Community Health Centers	CO	Federally Qualified Health Center (FQHC)	$0	$3.8M
Colorado Springs Oral And Facial Surgery	CO	Oral and Maxillofacial Surgery (Dentist)	$0	$3.6M

Austinbluffs Dental Prof. LLC — Billing Profile & Reimbursement Data

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Austinbluffs Dental Prof. LLC — 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