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.

Newport Family Dental, Plc (NPI 1437506888)

Field	Value
Entity Type	Organization
Organization	Newport Family Dental, Plc
Address	494 Highland Ave
City	Newport
State	VT
ZIP	05855
Taxonomy	Dental Clinic/Center
NPI Enumerated	May 16, 2016

Payer Source	Total Paid
Medicaid	$833.2K
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
D2392	Post 2 surface resin‑based composite	1,780	$110	$186.8K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…	1,200	$90	$113.1K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	2,720	$40	$111.5K
D0140	Limited oral evaluation – problem focused	2,280	$30	$73K
D0120	Periodic oral evaluation - established patient	2,810	$20	$61.7K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	2,530	$20	$40.4K
D2393	Resin-based composite, three surfaces, posterior	300	$130	$39.9K
D0150	Comprehensive oral evaluation – new or established patient	1,060	$30	$35.9K
D1120	Prophylaxis–child	1,160	$30	$34.7K
D0274	N/A	1,210	$30	$31.4K

Showing 1–10 of 22

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

Newport Family Dental, Plc — 0 of 21 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

22 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…	7	20	770	$140	$185K
D2392	Post 2 surface resin‑based composite	13	60	610	$130	$155.6K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	21	50	400	$80	$101.1K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	22	150	540	$50	$73.5K
D2391	Resin‑based composite – one surface, posterior	31	50	310	$90	$62.9K
D1120	Prophylaxis–child	32	110	220	$40	$59.2K
D0120	Periodic oral evaluation - established patient	28	160	720	$30	$57.8K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	31	120	500	$20	$53.5K
D0140	Limited oral evaluation – problem focused	14	70	560	$40	$53.3K
D0330	N/A	33	70	330	$60	$43.8K

Showing 1–10 of 22

Nearby Providers

Other providers in the same ZIP code as Newport Family Dental, Plc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northeast Kingdom Human Services Inc Ds Waiver	VT	Developmental Disabilities Clinic/Center	$0	$204.7M
Baart Behavioral Health Services, Inc.	VT	Substance Use Disorder Rehabilitation Clinic/Center	$85.8K	$17.6M
Northeast Kingdom Human Services Inc Sbs	VT	Adolescent and Children Mental Health Clinic/Center	$0	$8.3M
Autism Advocacy And Intervention, LLC	VT	Behavior Analyst	$0	$7.8M
Newport Ambulance Service Inc.	VT	Land Ambulance	$743.2K	$2.9M
North Country Hospital & Health Center Inc	VT	Internal Medicine Physician	$0	$3.2M
North East Kingdom Community Action, Inc.	VT	Public Health or Welfare Agency	$0	$2.8M
Northeast Kingdom Human Services Inc Mh Children	VT	Adolescent and Children Mental Health Clinic/Center	$0	$2.7M
North Country Hospital & Health Center Inc	VT	Pediatrics Physician	$0	$2.2M
James V. Wyllie, Dds P.C.	VT	General Practice Dentistry	$0	$1.8M

Newport Family Dental, Plc — Billing Profile & Reimbursement Data

Sign up for Newport Family Dental, Plc — Billing Profile & Reimbursement Data policy alerts

Newport Family Dental, Plc — Billing Profile & Reimbursement Data

Sign up for Newport Family Dental, Plc — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References