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

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

Sarah Clegg (NPI 1457764417)

Field	Value
Entity Type	Individual
Organization	Sarah Clegg
Address	548 S Marine Corps Dr
City	Tamuning
State	GU
ZIP	96913
Taxonomy	General Practice Dentistry
NPI Enumerated	June 7, 2014

Payer Source	Total Paid
Medicaid	$1.7M
Medicare	$0

Key Findings

SARAH CLEGG is effectively a single-payer Medicaid provider: total Medicaid revenue is $1.7M and there is no Medicare billing on file. This profile indicates the practice’s revenue is concentrated in Medicaid reimbursement streams rather than a mixed Medicare/Medicaid payer mix.

Revenue is concentrated in a small set of dental codes: the top 3 Medicaid codes (D2940, D2150, D0150) account for 42.6% of this provider’s total Medicaid revenue. Those top-three contributions break out as D2940 $390.2K (22.5%), D2150 $200.3K (11.5%), and D0150 $149.1K (8.6%), showing dependence on a mix of restorative and evaluation services.

The code mix and descriptions point to a general dentistry operation with emphasis on restorative amalgam work and comprehensive evaluations: D2150 is Amalgam - two surfaces and D0150 is Comprehensive oral evaluation. High volumes of prophylaxis and radiographic imaging (see D1120, D0230, D0220) alongside extractions (D7140, D7210) suggest a full-service general dental clinic treating both pediatric and adult patients.

Operational throughput appears steady and procedure-focused: D0150 has 2K claims and D1120 has 2.1K claims while radiographic codes D0230 and D0220 show 2K and 2.5K claims respectively. These claim volumes imply regular preventive and diagnostic visits are a major part of the workflow that feed downstream restorative and extraction procedures.

Relative competitive standing in-state is generally modest to typical across most high-volume codes: D2940 ranks #3 of 5 providers in-state (50th percentile), D2150 ranks #5 of 8 (43th percentile), and D0150 ranks #5 of 10 (56th percentile), each described as typical or unremarkable volume. There are a few stronger pockets of presence — for example D2950 ranks #2 of 6 providers in-state (80th percentile) — but overall the provider is not a dominant statewide player for the leading codes.

Payment mix shows a mix of lower-paid high-volume diagnostics and higher-paid but lower-frequency procedures: examples include D2940 avg paid/claim $317 and D2930 avg paid/claim $393 versus D0220 avg paid/claim $15. This spread indicates revenue derives from both routine high-volume preventive/diagnostic care and episodic, higher-ticket restorative or surgical procedures.

The provider’s NPI was enumerated 2014-06-07 (~12 years ago), indicating an established presence in the market long enough to have developed steady Medicaid volumes and service patterns. Tenure combined with the code mix suggests an ongoing, clinic-based general dental practice rather than a new entrant or transient provider.

Because all billed revenue is from Medicaid ($1.7M) with no Medicare activity on file, the practice’s financial performance is tightly coupled to Medicaid policy, reimbursement rates, and state-level program changes. For payers and contracting teams, that single-payer concentration is a key commercial consideration when forecasting reimbursement exposure or negotiating rates.

Medicaid: Complete Services Breakdown

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

25 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2940	N/A	1,230	$320	$390.2K
D2150	Amalgam - two surfaces, primary or permanent	1,280	$160	$200.3K
D0150	Comprehensive oral evaluation – new or established patient	2,020	$70	$149.1K
D2930	N/A	350	$390	$136.4K
D1120	Prophylaxis–child	2,140	$60	$124.1K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	490	$230	$113K
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…	370	$240	$89.8K
D0230	Intraoral - periapical each additional radiographic image	1,950	$40	$80K
D4220	N/A	180	$370	$66.8K
D0210	Intraoral - complete series of radiographic images	810	$70	$57.6K

Showing 1–10 of 25

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Guam Distribution

Sarah Clegg — 0 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Guam

Full comparison — all codes billed, vs. Guam median

25 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D4220	N/A	7	10	940	$200	$845.2K
D2930	N/A	5	10	570	$180	$587.4K
D2940	N/A	3	10	1,230	$220	$377.8K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	4	10	490	$160	$322.3K
D2150	Amalgam - two surfaces, primary or permanent	5	10	1,360	$100	$315.6K
D1120	Prophylaxis–child	6	10	2,140	$60	$195.3K
D0150	Comprehensive oral evaluation – new or established patient	5	10	1,460	$70	$192.7K
D2160	Amalgam - three surfaces, primary or permanent	6	10	530	$110	$139.3K
D3120	N/A	7	10	850	$40	$136.9K
D2140	Amalgam - one surface, primary or permanent	6	10	510	$80	$134.2K

Showing 1–10 of 25

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Thomas Lee	GU	Dentist	$0	$10.9M
Guam Memorial Hospital	GU	General Acute Care Hospital	$0	$3.5M
Rsa - Tumon, LLC	GU	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.9M
Robert Yang	GU	Dentist	$0	$2.4M
Antonio Garcia	GU	Pediatrics Physician	$0	$2.2M
Ma Gladys Linsangan	GU	Pediatrics Physician	$0	$2.2M
Ari Katerelos	GU	Radiation Oncology Physician	$2.1M	$0
Guam X-ray	GU	Vascular & Interventional Radiology Physician	$0	$2.1M
Peter Kh Go	GU	Surgery Physician	$152.8K	$1.5M
Leopoldo Arcilla	GU	Internal Medicine Physician	$81.3K	$1.5M

Sarah Clegg — Billing Profile & Reimbursement Data

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Sarah Clegg — 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

Nearby Providers

Frequently Asked Questions

References