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

Why is the Medicaid comparison limited to South Dakota 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. South Dakota (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.

Shawd Neighborhood Dental Clinic Beresford P.C. (NPI 1467763995)

Field	Value
Entity Type	Organization
Organization	Shawd Neighborhood Dental Clinic Beresford P.C.
Address	116 E Main St
City	Beresford
State	SD
ZIP	57004
Taxonomy	General Practice Dentistry
NPI Enumerated	June 30, 2010

Payer Source	Total Paid
Medicaid	$248.6K
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
D0120	Periodic oral evaluation - established patient	2,410	$30	$65.1K
D1120	Prophylaxis–child	1,670	$40	$60K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	2,360	$20	$52K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	630	$50	$29.4K
D2392	Post 2 surface resin‑based composite	170	$90	$15.7K
D0272	N/A	470	$30	$11.7K
D0274	N/A	230	$30	$7.6K
D9230	N/A	120	$40	$4.8K
D2391	Resin‑based composite – one surface, posterior	20	$70	$1.5K
D0150	Comprehensive oral evaluation – new or established patient	30	$40	$1K

Showing 1–10 of 11

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. South Dakota Distribution

Shawd Neighborhood Dental Clinic Beresford P.C. — 0 of 10 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Dakota

Full comparison — all codes billed, vs. South Dakota median

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D1351	Sealant - per tooth	50	50	400	$30	$117.3K
D2391	Resin‑based composite – one surface, posterior	34	40	150	$80	$115.5K
D2392	Post 2 surface resin‑based composite	24	60	100	$100	$89.5K
D1120	Prophylaxis–child	16	140	150	$40	$59.7K
D0120	Periodic oral evaluation - established patient	15	180	320	$30	$50.8K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	15	160	270	$30	$50.1K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	34	140	200	$60	$41.2K
D9230	N/A	18	30	190	$30	$40K
D0272	N/A	18	70	100	$30	$34.3K
D0150	Comprehensive oral evaluation – new or established patient	81	110	100	$60	$30.9K

Showing 1–10 of 11

Nearby Providers

Other providers in the same ZIP code as Shawd Neighborhood Dental Clinic Beresford P.C., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sanford Health Network	SD	Rural Health Clinic/Center	$0	$201.9K
Ryan Arlt	SD	Optometrist	$30.4K	$70.3K
Mitchell Oehlerts	SD	Physical Therapist	$77.8K	$0
Beresford Community Ambulance Service	SD	Land Ambulance	$61.3K	$0

Shawd Neighborhood Dental Clinic Beresford P.C. — Billing Profile & Reimbursement Data

Sign up for Shawd Neighborhood Dental Clinic Beresford P.C. — Billing Profile & Reimbursement Data policy alerts

Shawd Neighborhood Dental Clinic Beresford P.C. — Billing Profile & Reimbursement Data

Sign up for Shawd Neighborhood Dental Clinic Beresford P.C. — 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