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.

Franklin County Dental (NPI 1477284461)

Field	Value
Entity Type	Organization
Organization	Franklin County Dental
Address	57 Old Orchard Rd
City	Saint Albans
State	VT
ZIP	05478
Taxonomy	Dentist
NPI Enumerated	June 21, 2022

Payer Source	Total Paid
Medicaid	$54.3K
Medicare	$0

Medicaid: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D0120	Periodic oral evaluation - established patient	420	$30	$11.2K
D1120	Prophylaxis–child	210	$40	$7.7K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	390	$20	$7.4K
D9230	N/A	110	$60	$5.9K
D2392	Post 2 surface resin‑based composite	40	$160	$5.5K
D0274	N/A	140	$30	$4K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	80	$50	$3.7K
D0330	N/A	60	$60	$3.4K
D2391	Resin‑based composite – one surface, posterior	20	$130	$2.9K
D0150	Comprehensive oral evaluation – new or established patient	30	$50	$1.4K

Showing 1–10 of 12

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

Franklin County Dental — 0 of 12 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

12 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2392	Post 2 surface resin‑based composite	55	60	610	$130	$155.6K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	127	150	540	$50	$73.5K
D2391	Resin‑based composite – one surface, posterior	49	50	310	$90	$62.9K
D9230	N/A	15	20	500	$50	$59.7K
D1120	Prophylaxis–child	60	110	220	$40	$59.2K
D0120	Periodic oral evaluation - established patient	99	160	720	$30	$57.8K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	65	120	500	$20	$53.5K
D0140	Limited oral evaluation – problem focused	65	70	560	$40	$53.3K
D0330	N/A	49	70	330	$60	$43.8K
D0150	Comprehensive oral evaluation – new or established patient	70	80	330	$40	$38.9K

Showing 1–10 of 12

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northwestern Counseling & Support Services	VT	Community/Behavioral Health Agency	$0	$129.9M
Northwestern Counseling & Support Services Inc	VT	Community/Behavioral Health Agency	$0	$70.4M
Amcare Medical Systems, Inc.	VT	Land Ambulance	$576.2K	$2.2M
Baart Behavioral Health Services, Inc.	VT	Substance Use Disorder Rehabilitation Clinic/Center	$180.2K	$2.5M
Northwestern Medical Center, Inc.	VT	Pediatrics Physician	$0	$1.4M
Northwestern Medical Center, Inc.	VT	General Acute Care Hospital	$0	$1.1M
Remy Vallee Dmd Inc	VT	Dentist	$0	$1.1M
Calm Reflections Psychotherapy, LLC	VT	Clinical Social Worker	$0	$840.8K
Northwestern Medical Center, Inc.	VT	Urgent Care Clinic/Center	$0	$757.2K
Northern Valley Eyecare, Inc.	VT	Optometrist	$0	$703.1K

Franklin County Dental — Billing Profile & Reimbursement Data

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Franklin County Dental — 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