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 District of Columbia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to District of Columbia 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. District of Columbia (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.

Cheryl Lee (NPI 1437168341)

Field	Value
Entity Type	Individual
Organization	Cheryl Lee
Address	1010 Quincy St Ne
City	Washington
State	DC
ZIP	20017
Taxonomy	Dentist
NPI Enumerated	August 7, 2006

Payer Source	Total Paid
Medicaid	$2.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

22 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D4342	N/A	11,340	$80	$873.3K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	5,800	$80	$470.1K
D0120	Periodic oral evaluation - established patient	7,680	$40	$276.3K
D9223	N/A	550	$450	$246K
D4346	N/A	1,240	$100	$124K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	3,740	$30	$112.1K
D1208	Topical application of fluoride - excluding varnish	3,310	$30	$86.1K
D9222	N/A	460	$110	$51.3K
D0330	N/A	580	$80	$46K
D2750	Crown - porcelain fused to high noble metal	90	$470	$41.8K

Showing 1–10 of 22

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. District of Columbia Distribution

Cheryl Lee — 4 of 22 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — District of Columbia

Full comparison — all codes billed, vs. District of Columbia median

22 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D4342	N/A	1	10	560	$70	$220.8K
D2750	Crown - porcelain fused to high noble metal	17	30	150	$470	$170.1K
D9223	N/A	1	10	160	$370	$100.2K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	11	160	330	$60	$89.6K
D2391	Resin‑based composite – one surface, posterior	53	60	200	$90	$86.2K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	8	70	180	$30	$66.9K
D0120	Periodic oral evaluation - established patient	17	180	320	$30	$63.7K
D4341	Periodontal scaling and root planing - four or more teeth per quadrant	15	20	370	$110	$56.2K
D0350	N/A	14	20	340	$60	$54.6K
D0150	Comprehensive oral evaluation – new or established patient	73	150	170	$60	$44.1K

Showing 1–10 of 22

Nearby Providers

Other providers in the same ZIP code as Cheryl Lee, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
My Own Place, Inc.	DC	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$48.7M
Anchor Mental Health Association	DC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$22M
Hsc Home Care, LLC	DC	Home Health Agency	$0	$14.7M
Providence Health Services Inc	DC	Family Medicine Physician	$0	$13.4M
Providence Hospital	DC	General Acute Care Hospital	$0	$12.2M
American Health Care Services Inc	DC	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$5.3M
Hospital For Sick Children	DC	Special Hospital	$0	$4.7M
United Cerebral Palsy Of Washington & No. Virginia, Inc.	DC	Developmentally Disabled Services Day Training Agency	$0	$4.4M
Gerald Family Care	DC	Family Medicine Physician	$0	$3.2M
Providence Opticians Designer Eyewear Inc	DC	Eyewear Supplier	$0	$2.1M

Cheryl Lee — Billing Profile & Reimbursement Data

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Cheryl Lee — 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