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.

Rapid City Dental PLLC (NPI 1477325736)

Field	Value
Entity Type	Organization
Organization	Rapid City Dental PLLC
Address	2525 W Main St Ste 304
City	Rapid City
State	SD
ZIP	57702
Taxonomy	Dental Clinic/Center
NPI Enumerated	October 30, 2023

Payer Source	Total Paid
Medicaid	$53.1K
Medicare	$0

Medicaid: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D0150	Comprehensive oral evaluation – new or established patient	170	$60	$10.4K
D0330	N/A	110	$90	$9.6K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	110	$60	$7.2K
D0274	N/A	150	$50	$7.1K
D0220	Intraoral - periapical first radiographic image	240	$20	$5K
D0230	Intraoral - periapical each additional radiographic image	320	$10	$4.4K
D0140	Limited oral evaluation – problem focused	50	$60	$3K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	20	$130	$2.9K
D2392	Post 2 surface resin‑based composite	20	$160	$2.9K
D0120	Periodic oral evaluation - established patient	10	$40	$490

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

Rapid City Dental PLLC — 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

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	40	40	260	$90	$151.5K
D2392	Post 2 surface resin‑based composite	55	60	100	$100	$89.5K
D0140	Limited oral evaluation – problem focused	45	60	120	$140	$84.7K
D0120	Periodic oral evaluation - established patient	168	180	320	$30	$50.8K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	92	140	200	$60	$41.2K
D0150	Comprehensive oral evaluation – new or established patient	41	110	100	$60	$30.9K
D0220	Intraoral - periapical first radiographic image	33	90	130	$30	$30.6K
D0230	Intraoral - periapical each additional radiographic image	18	40	300	$10	$27.2K
D0274	N/A	50	110	120	$40	$18.9K
D0330	N/A	13	30	80	$70	$17.8K

Nearby Providers

Other providers in the same ZIP code as Rapid City Dental PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Black Hills Works Inc	SD	Developmentally Disabled Services Day Training Agency	$0	$149.7M
Great Plains Tribal Chairmen's Health Board	SD	Pharmacy	$0	$36.4M
Black Hills Pediatric Dentistry	SD	Pediatric Dentistry	$0	$24.7M
Dakota Dental 4 Kids	SD	Dental Clinic/Center	$0	$7.1M
Oglala Sioux Tribe	SD	Obstetrics & Gynecology Physician	$0	$5.2M
Rushmore Ambulatory Surgery Center	SD	Ambulatory Surgical Clinic/Center	$0	$4.6M
Stay Graceful Inc	SD	In Home Supportive Care Agency	$0	$3.4M
Children's Care Hospital And School	SD	Rehabilitation Clinic/Center	$0	$2.1M
Rushmore Dental Products, Inc.	SD	Durable Medical Equipment & Medical Supplies	$0	$1.7M
Black Hills Orthopedic & Spine Center, Inc.	SD	Multi-Specialty Clinic/Center	$0	$1.7M

Rapid City Dental PLLC — Billing Profile & Reimbursement Data

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Rapid City Dental PLLC — 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