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

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

Mid-atlantic Dental Partners Delaware Ii Professional Associates (NPI 1427567379)

Field	Value
Entity Type	Organization
Organization	Mid-atlantic Dental Partners Delaware Ii Professional Associates
Address	4201 Miller Rd
City	Wilmington
State	DE
ZIP	19802
Taxonomy	General Practice Dentistry
NPI Enumerated	September 22, 2017

Payer Source	Total Paid
Medicaid	$21.8M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-focused practice: it has no Medicare billing on file and reports Total Medicaid revenue of $21.8M. Its NPI was enumerated on 2017-09-22 (~9 years ago), indicating roughly nine years of active billing history in the data set and a business that has scaled within the Medicaid program over that timeframe.

Revenue is concentrated in a small set of codes: the precomputed top three Medicaid codes account for 32.9% of the provider's total Medicaid revenue. The three largest single-code contributors are D2392 ($3.9M, 18.3%), D1120 ($1.6M, 7.6%), and D2391 ($1.5M, 7.0%), showing a pronounced dependence on a few high-volume restorative and preventive services.

The code mix points to a high-volume general dentistry practice with a strong pediatric and preventive emphasis combined with routine posterior restorative work. High counts and revenues for pediatric prophylaxis D1120, sealants D1351, topical fluoride D1206, and comprehensive evaluations D0150 alongside major posterior composite codes D2392/D2391/D2393 indicate a workflow organized around preventive care and frequent restorative treatment for a largely Medicaid patient base.

Competitive standing in-state is dominant for many codes: the provider ranks #1 and at the 100th percentile for multiple high-revenue codes such as D2392 (rank #1 of 90), D1120 (rank #1 of 116), D1206 (rank #1 of 128), and D0150 (rank #1 of 147). These rankings and the explicit labels like "extreme outlier" signal that the provider is a major, outlier-volume dental operator within Delaware Medicaid for core preventive and restorative services.

Claim volumes demonstrate very high throughput across diagnostic and preventive services, supporting the interpretation of a large-scale clinic operation: D0230 appears 63.6K times, D1206 40.9K claims, D0220 39.5K claims, D1120 31.5K claims, and D1351 30.6K claims. Those multi‑ten‑thousand claim counts align with a business model that sees a steady, high-frequency stream of routine pediatric and diagnostic encounters.

Beyond preventive and posterior composites, the provider also bills a mix of higher-reimbursement restorative and other procedures that diversify clinical services and revenue: examples include D2930 ($668.4K revenue, 2.4K claims), D3220 ($437.9K revenue, 2.3K claims, rank #1 of 10), D8660 ($679K revenue, 4.6K claims) and D7111 ($160.2K revenue, 1.4K claims). The presence of these codes indicates capacity to deliver more complex restorative and restorative-related procedures in addition to high-volume preventive care.

Because 32.9% of Medicaid revenue is concentrated in the top three codes, the provider's Medicaid revenue profile is materially sensitive to state fee schedule or coverage changes affecting those specific services. Any policy, coding or reimbursement adjustments for D2392, D1120, or D2391 would likely have outsized impact on the provider's overall Medicaid revenue given the demonstrated concentration.

Medicaid: Complete Services Breakdown

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

42 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2392	Post 2 surface resin‑based composite	16,300	$240	$3.9M
D1120	Prophylaxis–child	31,480	$50	$1.6M
D2391	Resin‑based composite – one surface, posterior	7,850	$190	$1.5M
D2393	Resin-based composite, three surfaces, posterior	4,750	$300	$1.4M
D1351	Sealant - per tooth	30,580	$40	$1.3M
D0230	Intraoral - periapical each additional radiographic image	63,620	$20	$1.3M
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	40,920	$30	$1.3M
D0150	Comprehensive oral evaluation – new or established patient	15,160	$70	$1M
D0220	Intraoral - periapical first radiographic image	39,530	$20	$909.1K
D0120	Periodic oral evaluation - established patient	23,080	$40	$900K

Showing 1–10 of 42

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Delaware Distribution

Mid-atlantic Dental Partners Delaware Ii Professional Associates — 17 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Delaware

Full comparison — all codes billed, vs. Delaware median

42 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D8670	N/A	6	20	2,720	$230	$1.2M
D8020	N/A	8	10	120	$2,450	$950.3K
D2930	N/A	6	30	580	$260	$446.8K
D8660	N/A	4	10	810	$330	$422.7K
D3330	N/A	3	10	150	$920	$393.5K
D2392	Post 2 surface resin‑based composite	1	90	490	$220	$366.3K
D2393	Resin-based composite, three surfaces, posterior	1	40	260	$270	$226.1K
D9944	N/A	1	10	450	$490	$219.5K
D1351	Sealant - per tooth	3	70	1,690	$40	$217.1K
D2391	Resin‑based composite – one surface, posterior	2	70	320	$180	$192K

Showing 1–10 of 42

Nearby Providers

Other providers in the same ZIP code as Mid-atlantic Dental Partners Delaware Ii Professional Associates, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Greater Works Companion Care	DE	Home Health Agency	$0	$10.8M
Dr. Clyde A. Maxwell Jr, PA	DE	Dental Clinic/Center	$0	$10.2M
Opportunity Center Inc	DE	Intellectual & Developmental Disabilities Psychologist	$0	$3M
The Life Center Complex, Inc	DE	Community Health Clinic/Center	$0	$1.9M
Francis Mase M.d., P.A.	DE	Pediatrics Physician	$0	$1.8M
Precision Care & Wellness, LLC	DE	Primary Care Clinic/Center	$0	$1.8M
Bio-medical Applications Of Delaware, Inc.	DE	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.1M
Bio-medical Applications Of Delaware, Inc.	DE	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$487.1K
Connections Csp Brandywine Street Women's Residential Treatment Progra	DE	Substance Use Disorder Rehabilitation Clinic/Center	$0	$463.3K
Christiana Care Health Services Inc	DE	Student Health Clinic/Center	$0	$167.6K

Mid-atlantic Dental Partners Delaware Ii Professional Associates — Billing Profile & Reimbursement Data

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Mid-atlantic Dental Partners Delaware Ii Professional Associates — 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