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

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

Prime Dental Inc (NPI 1447486600)

Field	Value
Entity Type	Organization
Organization	Prime Dental Inc
Address	3112 Cranberry Hwy
City	East Wareham
State	MA
ZIP	02538
Taxonomy	General Practice Dentistry
NPI Enumerated	June 2, 2009

Payer Source	Total Paid
Medicaid	$5.6M
Medicare	$0

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
D2740	N/A	2,330	$700	$1.6M
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…	4,660	$140	$648.3K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	8,380	$50	$444.4K
D0274	N/A	9,480	$40	$341.1K
D2950	N/A	1,550	$160	$249.7K
D2392	Post 2 surface resin‑based composite	2,880	$90	$245.1K
D0120	Periodic oral evaluation - established patient	8,160	$20	$195.8K
D0330	N/A	3,700	$40	$162.7K
D0140	Limited oral evaluation – problem focused	3,950	$40	$158K
D2751	N/A	290	$540	$156.1K

Showing 1–10 of 42

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Massachusetts Distribution

Prime Dental Inc — 7 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Massachusetts

Full comparison — all codes billed, vs. Massachusetts median

42 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D8670	N/A	161	260	1,530	$230	$664.9K
D9450	N/A	118	150	2,450	$30	$506.8K
D2740	N/A	13	410	280	$660	$338.1K
D3330	N/A	94	130	80	$650	$180.9K
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…	18	370	300	$130	$138.7K
D1120	Prophylaxis–child	237	1,050	470	$50	$119.2K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	94	1,480	900	$50	$118.2K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	221	440	410	$70	$115.7K
D2392	Post 2 surface resin‑based composite	103	780	420	$80	$109.6K
D1351	Sealant - per tooth	144	450	490	$40	$101.3K

Showing 1–10 of 42

Nearby Providers

Other providers in the same ZIP code as Prime Dental Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Atlantic Home Medical Supply Inc.	MA	Parenteral & Enteral Nutrition Supplies (DME)	$0	$16.4M

Prime Dental Inc — Billing Profile & Reimbursement Data

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Prime Dental Inc — 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