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

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

Tooth Time Dentistry, LLC (NPI 1487004586)

Field	Value
Entity Type	Organization
Organization	Tooth Time Dentistry, LLC
Address	800 Silver Ln
City	East Hartford
State	CT
ZIP	06118
Taxonomy	General Practice Dentistry
NPI Enumerated	June 20, 2016

Payer Source	Total Paid
Medicaid	$1.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

20 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2392	Post 2 surface resin‑based composite	4,010	$80	$332.4K
D2393	Resin-based composite, three surfaces, posterior	2,330	$100	$242.5K
D1120	Prophylaxis–child	4,110	$40	$160.1K
D2391	Resin‑based composite – one surface, posterior	2,570	$60	$156.5K
D0150	Comprehensive oral evaluation – new or established patient	2,260	$50	$115.2K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	4,090	$20	$94K
D0274	N/A	2,600	$40	$93.5K
D0120	Periodic oral evaluation - established patient	3,410	$30	$92K
D0330	N/A	1,080	$70	$74.7K
D9230	N/A	1,490	$50	$67K

Showing 1–10 of 20

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Connecticut Distribution

Tooth Time Dentistry, LLC — 0 of 20 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Connecticut

Full comparison — all codes billed, vs. Connecticut median

20 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2392	Post 2 surface resin‑based composite	39	390	620	$80	$144.8K
D1120	Prophylaxis–child	100	660	570	$40	$120.7K
D2391	Resin‑based composite – one surface, posterior	47	330	430	$60	$89.4K
D9230	N/A	36	110	550	$50	$88.3K
D0120	Periodic oral evaluation - established patient	170	730	700	$30	$80.6K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	83	210	370	$70	$79.3K
D1351	Sealant - per tooth	114	190	580	$30	$70K
D1208	Topical application of fluoride - excluding varnish	343	560	740	$20	$66.4K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	45	300	300	$20	$61.6K
D2393	Resin-based composite, three surfaces, posterior	16	220	130	$100	$54.5K

Showing 1–10 of 20

Nearby Providers

Other providers in the same ZIP code as Tooth Time Dentistry, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Intercommunity, Inc.	CT	Federally Qualified Health Center (FQHC)	$0	$56M
Intercommunity, Inc.	CT	Primary Care Clinic/Center	$0	$27.1M
Nursing Services, Inc.	CT	Home Health Agency	$0	$10.8M
Silver Lane Medical Group	CT	Family Medicine Physician	$0	$4.3M
David Mintell	CT	Internal Medicine Physician	$109.9K	$0
Tanya Bilchik	CT	Neurology Physician	$46.4K	$0

Tooth Time Dentistry, LLC — Billing Profile & Reimbursement Data

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Tooth Time Dentistry, LLC — 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