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 U.S. Virgin Islands for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to U.S. Virgin Islands 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. U.S. Virgin Islands (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.

Island Dental Specialties Dba Toothworks (NPI 1427451368)

Field	Value
Entity Type	Organization
Organization	Island Dental Specialties Dba Toothworks
Address	4504 Estate Diamond
City	Christiansted
State	VI
ZIP	00820
Taxonomy	Endodontics
NPI Enumerated	October 7, 2014

Payer Source	Total Paid
Medicaid	$1.5M
Medicare	$0

Key Findings

This provider is effectively single-payer in the available data: there is no Medicare billing on file and all recorded lifetime public payer revenue is Medicaid ($1.5M). Analysts should treat Medicaid as the primary revenue source when evaluating payer exposure and reimbursement risk for ISLAND DENTAL SPECIALTIES DBA TOOTHWORKS.

Revenue is highly concentrated in a small set of Medicaid procedure codes: the precomputed top‑3 Medicaid codes account for 63.1% of the provider’s total Medicaid revenue. The single largest contributor is D3330 ($545K, 36.4% of Medicaid revenue), followed by D2950 ($221.3K, 14.8%) and D9310 ($180.1K, 12.0%), indicating a small number of procedures drive a majority of receipts.

The provider’s taxonomy is Endodontics and the code mix is consistent with a specialist endodontic practice: D3330 is the largest revenue driver (36.4% of Medicaid revenue, $1133 avg paid/claim) and other higher‑paid procedure codes such as D3320 and D3221 also appear in the top line items. This suggests the operation focuses on higher‑complexity, specialty dental procedures rather than being primarily a general dentistry clinic.

State-level competitive standing is mixed across top codes. D3330 ranks #2 of 2 providers in-state (0th percentile; labeled "typical, unremarkable volume"), so despite being the top revenue driver for this provider it is not a clearly dominant statewide performer for that specific code; by contrast D9310 ranks #2 of 6 (80th percentile) and D2950 ranks #2 of 4 (67th percentile), indicating above‑typical participation on those service lines relative to many in-state peers.

A small subset of codes show unique or sole-provider status in the state: D3221 is ranked #1 of 1 in-state (0th percentile; no state peer volume comparison available) with $121.9K of revenue, and D0364 is also #1 of 1. These solitary rankings imply the provider supplies certain services in a market with little or no other documented Medicaid volume for those specific codes, but peer-comparison labels indicate limited statewide benchmarking is available.

The practice also bills routine diagnostic and preventive Medicaid codes alongside specialty care, indicating treatment of a broader patient mix or integration with general dental services. Examples include D0150 (Comprehensive oral evaluation) at $40K, D0120 (Periodic oral evaluation) at $35.2K, D1120 (Prophylaxis–child) at $49K, and D1206 (Topical Fluoride Treatment) at $34.1K, showing meaningful activity in evaluation and pediatric/preventive lines.

Per‑claim payment patterns reinforce a specialty-driven revenue profile: the highest-revenue code D3330 has a relatively large avg paid/claim ($1133), while common preventive and diagnostic items are paid at much lower per‑claim rates (for example, D1206 $43 avg paid/claim and D1120 $66 avg paid/claim). This disparity indicates that a small number of higher‑paid specialty procedures disproportionately contribute to total Medicaid revenue.

The NPI was enumerated on 2014-10-07 (~12 years ago), indicating an established presence in CHRISTIANSTED, VI. Combined with $1.5M of lifetime Medicaid revenue and the concentration patterns above, the provider appears to be a stable, specialty‑focused Medicaid participant in its local market rather than a high-volume, statewide dominant competitor across most codes.

Medicaid: Complete Services Breakdown

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

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D3330	N/A	480	$1,130	$545K
D2950	N/A	900	$250	$221.3K
D9310	N/A	1,670	$110	$180.1K
D3221	N/A	450	$270	$121.9K
D3320	N/A	80	$950	$74.7K
D1120	Prophylaxis–child	740	$70	$49K
D9230	N/A	280	$160	$44.1K
D0150	Comprehensive oral evaluation – new or established patient	360	$110	$40K
D0330	N/A	350	$110	$36.9K
D0120	Periodic oral evaluation - established patient	370	$100	$35.2K

Showing 1–10 of 19

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. U.S. Virgin Islands Distribution

Island Dental Specialties Dba Toothworks — 0 of 19 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — U.S. Virgin Islands

Full comparison — all codes billed, vs. U.S. Virgin Islands median

19 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D3330	N/A	2	10	770	$1,140	$881.3K
D3320	N/A	2	10	510	$1,000	$503K
D2392	Post 2 surface resin‑based composite	7	10	520	$230	$376.2K
D2950	N/A	2	10	560	$300	$344.4K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	9	10	1,120	$160	$299.5K
D0330	N/A	7	10	1,190	$100	$161.7K
D0210	Intraoral - complete series of radiographic images	5	10	1,080	$100	$155.7K
D0150	Comprehensive oral evaluation – new or established patient	8	10	610	$90	$153.7K
D3221	N/A	1	10	450	$270	$121.7K
D1120	Prophylaxis–child	4	10	680	$70	$101.4K

Showing 1–10 of 19

Nearby Providers

Other providers in the same ZIP code as Island Dental Specialties Dba Toothworks, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St Croix Vision Center Inc	VI	Optometrist	$0	$3.6M
One Dental Practice LLC	VI	Dentist	$0	$3.2M
Governor Juan F. Luis Hospital & Medical Center	VI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3M
Js Therapies, LLC	VI	Occupational Therapist	$0	$2.9M
Healthquest, LLC.	VI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.4M
Department Of Health, Ems Stx	VI	Land Ambulance	$0	$2.2M
Lindsy Wagner LLC	VI	Clinical Social Worker	$0	$2.2M
Ophthalmology Consultants, PC	VI	Ophthalmology Physician	$0	$2.1M
Acute Alternative Medical Group	VI	Emergency Medical Services (Emergency Medicine) Physician	$0	$1.9M
Pediatric Care Center LLC	VI	Pediatrics Physician	$0	$1.7M

Island Dental Specialties Dba Toothworks — Billing Profile & Reimbursement Data

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Island Dental Specialties Dba Toothworks — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References