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

Why is the Medicaid comparison limited to North 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. North 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.

Maple Family Dental P.C. (NPI 1487105276)

Field	Value
Entity Type	Organization
Organization	Maple Family Dental P.C.
Address	594 Main St N
City	Horace
State	ND
ZIP	58047
Taxonomy	Dental Clinic/Center
NPI Enumerated	October 18, 2016

Payer Source	Total Paid
Medicaid	$283.6K
Medicare	$0

Medicaid: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1351	Sealant - per tooth	6,800	$20	$156.4K
D1120	Prophylaxis–child	1,590	$30	$46K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	1,830	$20	$34.8K
D0274	N/A	480	$30	$13.6K
D0120	Periodic oral evaluation - established patient	500	$20	$10K
D0150	Comprehensive oral evaluation – new or established patient	270	$40	$9.4K
D0272	N/A	210	$20	$4.6K
D2392	Post 2 surface resin‑based composite	30	$130	$4.2K
D0190	N/A	600	$10	$3K
D0240	N/A	40	$30	$1.1K

Showing 1–10 of 12

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. North Dakota Distribution

Maple Family Dental P.C. — 2 of 11 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Dakota

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

12 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2392	Post 2 surface resin‑based composite	27	40	130	$110	$83.4K
D1120	Prophylaxis–child	15	80	360	$40	$48.3K
D0120	Periodic oral evaluation - established patient	52	120	350	$40	$46.8K
D1351	Sealant - per tooth	2	30	470	$20	$46.6K
D9230	N/A	23	20	280	$30	$29.9K
D0240	N/A	8	10	430	$30	$29.6K
D0150	Comprehensive oral evaluation – new or established patient	29	60	250	$50	$27K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	18	110	230	$20	$23.6K
D0272	N/A	21	50	150	$20	$20.5K
D0190	N/A	1	10	270	$50	$14.5K

Showing 1–10 of 12

Nearby Providers

Other providers in the same ZIP code as Maple Family Dental P.C., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Aim Therapy PLLC	ND	Occupational Therapist	$0	$110.4K
Kevin Anderson	ND	Pediatric Occupational Therapist	$30K	$0

Maple Family Dental P.C. — Billing Profile & Reimbursement Data

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Maple Family Dental P.C. — 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