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

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

Thomas G Fagot Dds PC (NPI 1457802175)

Field	Value
Entity Type	Organization
Organization	Thomas G Fagot Dds PC
Address	1220 N Adams St
City	Lexington
State	NE
ZIP	68850
Taxonomy	General Practice Dentistry
NPI Enumerated	October 18, 2016

Payer Source	Total Paid
Medicaid	$254.6K
Medicare	$0

Medicaid: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	2,790	$20	$66.9K
D0120	Periodic oral evaluation - established patient	2,660	$20	$61.2K
D1120	Prophylaxis–child	2,180	$30	$58.8K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	740	$40	$26.5K
D1999	N/A	2,500	$10	$25K
D0272	N/A	390	$10	$5K
D0150	Comprehensive oral evaluation – new or established patient	190	$20	$4.2K
D0274	N/A	190	$20	$3.3K
D0220	Intraoral - periapical first radiographic image	400	$10	$2.4K
D0140	Limited oral evaluation – problem focused	40	$20	$940

Showing 1–10 of 11

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Nebraska Distribution

Thomas G Fagot Dds PC — 0 of 11 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Nebraska

Full comparison — all codes billed, vs. Nebraska median

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	59	320	460	$20	$62.2K
D1120	Prophylaxis–child	49	290	320	$30	$61K
D0120	Periodic oral evaluation - established patient	61	400	430	$20	$44.3K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	90	310	220	$40	$28.1K
D1999	N/A	49	270	450	$10	$17.9K
D0272	N/A	83	210	210	$10	$17.7K
D0150	Comprehensive oral evaluation – new or established patient	121	240	190	$20	$16.3K
D0140	Limited oral evaluation – problem focused	123	160	200	$20	$14.5K
D0274	N/A	126	250	190	$20	$14K
D0230	Intraoral - periapical each additional radiographic image	119	140	540	$1	$12.7K

Showing 1–10 of 11

Nearby Providers

Other providers in the same ZIP code as Thomas G Fagot Dds PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lexington Regional Health Center	NE	Critical Access Hospital	$0	$4.2M
Lexington Regional Health Center	NE	Rural Health Clinic/Center	$0	$3.2M
Plum Creek Medical Group, P.C.	NE	Family Medicine Physician	$0	$2.5M
Lexington Family Eyecare	NE	Optometrist	$0	$779.3K
Lexington Regional Health Center	NE	Rural Health Clinic/Center	$0	$459.5K
Lawton Counseling, LLC	NE	Mental Health Counselor	$0	$306.8K
Lexington Regional Health Center	NE	Emergency Medicine Physician	$0	$293.5K
Mayra Avalos	NE	Mental Health Counselor	$0	$276.7K
Raime Misko	NE	Family Nurse Practitioner	$67K	$0
Rebecca Gill	NE	Surgery Physician	$44.7K	$0

Thomas G Fagot Dds PC — Billing Profile & Reimbursement Data

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Thomas G Fagot 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