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

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

David Bailey (NPI 1477862076)

Field	Value
Entity Type	Individual
Organization	David Bailey
Address	531 Coffeen Ave
City	Sheridan
State	WY
ZIP	82801
Taxonomy	Pediatric Dentistry
NPI Enumerated	September 29, 2010

Payer Source	Total Paid
Medicaid	$2.6M
Medicare	$0

Key Findings

This provider has no Medicare billing on file and $2.6M in lifetime Medicaid revenue, making its public-payer footprint effectively single-payer Medicaid rather than a mixed Medicare/Medicaid practice. The absence of Medicare activity should be considered when comparing against dual-payer peers or assessing Medicare-driven business lines.

Revenue is highly concentrated in a small set of Medicaid codes: the top three codes — D2392 ($379.3K, 14.7%), D0120 ($347.8K, 13.5%), and D1206 ($304K, 11.8%) — together account for 40.0% of this provider's total Medicaid revenue. This concentration signals that a relatively small number of procedures drive a large share of reimbursement.

The code mix aligns with a high-volume pediatric preventive and basic restorative practice: D0120 (periodic oral evaluation), D1206 (topical fluoride), D1120 (child prophylaxis), and D1351 (sealants) all appear near the top of the payer mix, while D2392 and D2391 indicate routine posterior composite restorations. High counts for preventive codes (for example, D1206: 10.5K claims, $29 avg paid/claim; D0120: 9.7K claims, $36 avg paid/claim) suggest day-to-day operations focused on preventive care for children with substantial throughput.

Competitive standing within the state is strong for several high-value pediatric codes: D2392 ranks #2 of 28 providers in-state (96th percentile; notably above typical state volume for this code), D0120 ranks #5 of 133 providers (97th percentile; notably above typical state volume for this code), and D1206 ranks #5 of 103 providers (96th percentile; notably above typical state volume for this code). These ranks indicate the provider is a major in-state performer for core pediatric evaluation and restorative services.

In addition to preventive services, the provider reports meaningful volumes of restorative and surgical procedures that broaden its service capability beyond screening and fluoride: D2391 (2.7K claims, $70 avg paid/claim, $189.8K revenue; ranks #3 of 22 providers, 90th percentile; notably above typical state volume for this code), D2930 ($131.3K revenue), and D7140 (1.6K claims, $64 avg paid/claim, $102.5K revenue; ranks #2 of 21 providers, 95th percentile; typical, unremarkable volume for this code). This mix suggests management of both restorative needs and extractions within the practice.

Several high-volume preventive and diagnostic codes are flagged as notably above typical state volume, reinforcing a throughput-focused pediatric model: beyond the top three, D1120 (8.5K claims, $32 avg paid/claim, $270.4K revenue) and D1110 (3.1K claims, $48 avg paid/claim, $147K revenue) also rank in the mid-90s percentiles and are described as notably above typical state volume. These patterns point to strong capacity for routine cleanings, evaluations, and preventive interventions.

The provider has been enumerated since 2010-09-29 (~16 years ago), indicating an established presence in the market; combined with the high claim volumes and percentile ranks for multiple codes, this tenure supports a sustained operational scale rather than a recent volume spike.

Medicaid: Complete Services Breakdown

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

24 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2392	Post 2 surface resin‑based composite	4,410	$90	$379.3K
D0120	Periodic oral evaluation - established patient	9,660	$40	$347.8K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	10,480	$30	$304K
D1120	Prophylaxis–child	8,450	$30	$270.4K
D1351	Sealant - per tooth	8,630	$20	$207.1K
D2391	Resin‑based composite – one surface, posterior	2,710	$70	$189.8K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	3,060	$50	$147K
D2930	N/A	1,080	$120	$131.3K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	1,600	$60	$102.5K
D0330	N/A	1,800	$50	$93.8K

Showing 1–10 of 24

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Wyoming Distribution

David Bailey — 5 of 24 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wyoming

Full comparison — all codes billed, vs. Wyoming median

24 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	5	10	810	$130	$141.9K
D2392	Post 2 surface resin‑based composite	2	30	230	$90	$87.4K
D1351	Sealant - per tooth	4	30	200	$30	$64.6K
D2391	Resin‑based composite – one surface, posterior	3	20	140	$70	$56.9K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	5	100	130	$30	$46.4K
D9248	N/A	3	10	270	$100	$40.8K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	2	20	300	$70	$40.1K
D1120	Prophylaxis–child	5	100	110	$30	$39.8K
D0120	Periodic oral evaluation - established patient	5	130	170	$30	$36.9K
D9230	N/A	5	20	360	$20	$35.9K

Showing 1–10 of 24

Related Providers

Other providers that share a Tax Identification Number (TIN) with David Bailey, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Samuel Bailey	UT	Pediatric Dentistry	$0	$4.5M
Gillette Pediatric Dentistry LLC	WY	Pediatric Dentistry	$0	$2.9M
Bighorn Pediatric Dentistry	WY	Pediatric Dentistry	$0	$868.9K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Normative Services, Inc.	WY	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$8.5M
Lgbtq Telepsychiatry	WY	Psychiatric/Mental Health Nurse Practitioner	$0	$3.9M
Rehabilitation Enterprises Of Northeastern Wyoming	WY	Clinical Psychologist	$0	$3.5M
Northeast Wyoming Pediatric Associates, P.C.	WY	Pediatrics Physician	$0	$3.2M
Eagle Ridge Rehabilitative Services	WY	Case Management Agency	$0	$2.6M
Sensational Kids, LLC	WY	Pediatric Occupational Therapist	$0	$2.1M
Memorial Hospital Of Sheridan County	WY	General Acute Care Hospital	$0	$989.7K
Linda Garretson	WY	Developmentally Disabled Services Day Training Agency	$0	$989.3K
Senior Citizens Council	WY	Home Health Agency	$0	$959.7K
Brandy Nielsen	WY	Case Manager/Care Coordinator	$0	$926.1K

David Bailey — Billing Profile & Reimbursement Data

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David Bailey — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References