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

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

Community Health Centers Of The Rutland Region, Inc. (NPI 1437364759)

Field	Value
Entity Type	Organization
Organization	Community Health Centers Of The Rutland Region, Inc.
Address	69 Allen St Ste 10
City	Rutland
State	VT
ZIP	05701
Taxonomy	Dentist
NPI Enumerated	May 11, 2007

Payer Source	Total Paid
Medicaid	$4.4M
Medicare	$0

Key Findings

This provider is effectively a single-payer Medicaid dental operator: there is no Medicare billing on file and Total Medicaid revenue is $4.4M. The absence of Medicare activity indicates the provider’s scale and business model are concentrated in the Medicaid market rather than split across traditional Medicare/Medicaid payer mix.

Revenue is concentrated in a few high-volume dental codes: the top 3 Medicaid codes by revenue account for 39.4% of this provider's total Medicaid revenue, with D2392 at $633K (14.3%), D1110 at $608.4K (13.8%), and D7140 at $495.6K (11.2%). These three codes together drive a large share of Medicaid income and should be considered primary service lines when assessing financial exposure and operational capacity.

The code mix indicates a high-volume general dental practice with heavy preventive and operative throughput: D1110 (Prophylaxis - adult) shows 12.7K claims and D1206 (Topical Fluoride) shows 13.8K claims, while restorative codes D2392 and D2391 (posteriors, multi- and one-surface composites) and extraction code D7140 also appear among top revenue drivers. High counts for D0150 (6.8K claims) and D0210 (4.5K claims) imply substantial new-patient/comprehensive evaluations and full-mouth radiographic workups consistent with clinic-based primary dental care.

Competitive standing within Vermont is strong for several core codes: D7140 ranks #1 of 45 providers in-state (100th percentile, labeled an extreme outlier), D0150 ranks #1 of 75 providers (100th percentile, extreme outlier), and D0210 ranks #1 of 37 providers (100th percentile, extreme outlier). D1110 ranks #4 of 150 (98th percentile, extreme outlier) and D2392 ranks #4 of 59 (95th percentile, notably above typical state volume), indicating this provider is a dominant statewide performer for extractions, evaluations, radiography, and high-volume cleanings.

Preventive services are a notable portion of utilization alongside restorations: D1110 (12.7K claims, $608.4K) and D1206 (13.8K claims, $261.5K) are among the highest-claim codes, and D0120 (10.1K claims, $261.7K) and D0150 (6.8K claims, $286.5K) together show both periodic and comprehensive evaluations at scale. This pattern suggests the practice delivers routine prevention and diagnostic services at high volume while also converting a meaningful subset of encounters into restorative and extraction procedures.

There is a presence of higher-acuity or higher-paid, but lower-volume specialty procedures: D3330 (228 claims, $144.6K) ranks #1 of 2 providers in-state and D2750 (14 claims, $4.9K) ranks #1 of 1 provider, showing the clinic performs some endodontic and crown services but at limited volume relative to its core preventive/operative mix. These items contribute to revenue diversity but are not primary revenue drivers compared with the high-claim preventive and extraction codes.

Multiple codes are flagged as statistical outliers or notably above typical state volume, reflecting unusually high utilization in certain service lines: D7140, D0150, D0210, and D1110 are all described as extreme outliers, while D2392, D2391, D0120, D1206, D0274, and D0220 are described as notably above typical state volume. The concentration of extreme-outlier rankings across both diagnostic/evaluation and interventional codes suggests this provider is substantially higher-volume than most in-state peers across a broad set of routine dental services.

The provider has long tenure in the public registry, with NPI enumerated 2007-05-11 (~19 years ago). This sustained presence aligns with the observed high volumes and market position in Vermont Medicaid dental billing, consistent with an established community dental provider rather than a recent entrant.

Medicaid: Complete Services Breakdown

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

29 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2392	Post 2 surface resin‑based composite	5,410	$120	$633K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	12,680	$50	$608.4K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	9,350	$50	$495.6K
D0150	Comprehensive oral evaluation – new or established patient	6,820	$40	$286.5K
D2391	Resin‑based composite – one surface, posterior	3,580	$80	$286K
D0210	Intraoral - complete series of radiographic images	4,500	$60	$283.3K
D0120	Periodic oral evaluation - established patient	10,060	$30	$261.7K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	13,760	$20	$261.5K
D0274	N/A	8,490	$30	$254.6K
D0140	Limited oral evaluation – problem focused	5,820	$40	$215.4K

Showing 1–10 of 29

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Vermont Distribution

Community Health Centers Of The Rutland Region, Inc. — 10 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Vermont

Full comparison — all codes billed, vs. Vermont median

29 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2392	Post 2 surface resin‑based composite	4	60	610	$130	$155.6K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	1	50	400	$80	$101.1K
D3330	N/A	1	10	120	$640	$77.3K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	4	150	540	$50	$73.5K
D1351	Sealant - per tooth	22	40	480	$20	$63.9K
D2391	Resin‑based composite – one surface, posterior	2	50	310	$90	$62.9K
D9230	N/A	6	20	500	$50	$59.7K
D1120	Prophylaxis–child	15	110	220	$40	$59.2K
D0120	Periodic oral evaluation - established patient	8	160	720	$30	$57.8K
D4346	N/A	4	20	260	$70	$54.6K

Showing 1–10 of 29

Related Providers

Other providers that share a Tax Identification Number (TIN) with Community Health Centers Of The Rutland Region, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Health Centers Of The Rutland Region Inc	VT	Federally Qualified Health Center (FQHC)	$0	$20.6M
Community Health Centers Of The Rutland Region, Inc.	VT	Federally Qualified Health Center (FQHC)	$0	$14.9M
Community Health Centers Of The Rutland Region, Inc.	VT	Pediatrics Physician	$0	$13.6M
Community Health Centers Of The Rutland Region, Inc.	VT	Family Medicine Physician	$0	$4.3M
Community Health Centers Of The Rutland Region, Inc.	VT	Federally Qualified Health Center (FQHC)	$0	$4.3M
Community Health Centers Of The Rutland Region, Inc.	VT	Family Medicine Physician	$0	$3.8M
Community Health Centers Of The Rutland Region Inc	VT	Federally Qualified Health Center (FQHC)	$0	$3.2M
Community Health Centers Of The Rutland Region	VT	Pediatric Dentistry	$0	$1.6M
Community Health Centers Of The Rutland Region, Inc	VT	Federally Qualified Health Center (FQHC)	$0	$1.1M
Jennifer Hanson	VT	Family Medicine Physician	$105.5K	$0

Nearby Providers

Other providers in the same ZIP code as Community Health Centers Of The Rutland Region, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rutland Mental Health Services	VT	Developmental Disabilities Clinic/Center	$0	$122.1M
Rutland Mental Health Services, Inc.	VT	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$17.7M
Rutland Hospital, Inc.	VT	Psychiatric Hospital Unit	$396.2K	$13.3M
Regional Ambulance Service, Inc	VT	Land Ambulance	$1.4M	$5.3M
Vna & Hospice Of The Southwest Region, Inc	VT	Home Health Agency	$0	$4.8M
Bradford Psychiatric Associates. LLC	VT	Addiction Medicine (Internal Medicine) Physician	$0	$4.7M
Regional Home Care Inc	VT	Oxygen Equipment & Supplies (DME)	$0	$1.8M
Rutland Hospital, Inc	VT	Emergency Medicine Physician	$0	$1.8M
Forensic Consultation & Counseling Service	VT	Addiction (Substance Use Disorder) Counselor	$0	$1.6M
Vermont Sports Medicine Center	VT	Occupational Therapist	$0	$1.1M

Community Health Centers Of The Rutland Region, Inc. — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References