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

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

Michael E. Edenfield, Dds, PC (NPI 1437423217)

Field	Value
Entity Type	Organization
Organization	Michael E. Edenfield, Dds, PC
Address	2937 Essary Rd.
City	Knoxville
State	TN
ZIP	37918
Taxonomy	General Practice Dentistry
NPI Enumerated	February 27, 2012

Payer Source	Total Paid
Medicaid	$2.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

28 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	8,800	$40	$325.6K
D2392	Post 2 surface resin‑based composite	4,690	$70	$304.7K
D2740	N/A	560	$390	$215.4K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	9,630	$20	$163.7K
D2391	Resin‑based composite – one surface, posterior	2,800	$60	$154.1K
D2393	Resin-based composite, three surfaces, posterior	2,030	$70	$146.1K
D0120	Periodic oral evaluation - established patient	6,870	$20	$130.5K
D0274	N/A	5,490	$20	$115.2K
D9243	N/A	5,920	$20	$112.6K
D9230	N/A	4,260	$20	$102.2K

Showing 1–10 of 28

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Tennessee Distribution

Michael E. Edenfield, Dds, PC — 4 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Tennessee

Full comparison — all codes billed, vs. Tennessee median

28 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D9243	N/A	2	20	880	$100	$165.8K
D1120	Prophylaxis–child	241	660	720	$30	$135.9K
D2740	N/A	12	80	100	$500	$122.8K
D9248	N/A	88	90	450	$80	$116.4K
D2392	Post 2 surface resin‑based composite	32	470	450	$70	$107K
D0120	Periodic oral evaluation - established patient	106	720	980	$20	$106.4K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	60	650	730	$20	$72.1K
D1208	Topical application of fluoride - excluding varnish	184	440	950	$20	$71.8K
D2391	Resin‑based composite – one surface, posterior	47	440	280	$60	$69.8K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	17	690	640	$40	$69.8K

Showing 1–10 of 28

Nearby Providers

Other providers in the same ZIP code as Michael E. Edenfield, Dds, PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Senior Citizens Home Assistance Service, Inc.	TN	In Home Supportive Care Agency	$0	$5.3M
Knoxville Pediatric Dentistry, PLLC	TN	Pediatric Dentistry	$0	$3.4M
Tennessee Support Services Inc.	TN	In Home Supportive Care Agency	$0	$3.2M
Steven Elliott Od And Associates Inc	TN	Optometrist	$0	$2.1M
Jeffrey Summers	TN	Internal Medicine Physician	$624.1K	$0
Thomas Haskins	TN	Family Medicine Physician	$122K	$0
Judith Kinzy	TN	Specialist	$119.8K	$0
Roelof Van Der Meulen	TN	Clinical Electrophysiology Physical Therapist	$78K	$0
Billy Trent	TN	Diagnostic Radiology Physician	$44.7K	$0

Michael E. Edenfield, Dds, PC — Billing Profile & Reimbursement Data

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Michael E. Edenfield, Dds, PC — 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