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.

Northern Plains Oral And Maxillofacial Surgery LLC (NPI 1487718565)

Field	Value
Entity Type	Organization
Organization	Northern Plains Oral And Maxillofacial Surgery LLC
Address	820 1st Ave Se
City	Aberdeen
State	SD
ZIP	57401
Taxonomy	Oral and Maxillofacial Surgery (Dentist)
NPI Enumerated	December 21, 2006

Payer Source	Total Paid
Medicaid	$120.5K
Medicare	$0

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	650	$120	$75.1K
D9222	N/A	120	$200	$23K
D9223	N/A	70	$170	$12.5K
D0140	Limited oral evaluation – problem focused	230	$40	$10K

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

Northern Plains Oral And Maxillofacial Surgery LLC — 0 of 4 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

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D9223	N/A	8	10	840	$140	$186.3K
D9222	N/A	8	10	980	$120	$182.5K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	17	40	260	$90	$151.5K
D0140	Limited oral evaluation – problem focused	29	60	120	$140	$84.7K

Nearby Providers

Other providers in the same ZIP code as Northern Plains Oral And Maxillofacial Surgery LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Adjustment Training Center, Inc.	SD	Developmentally Disabled Services Day Training Agency	$0	$40.3M
Northeastern Mental Health Center	SD	Mental Health Counselor	$0	$10.1M
Vision Care Associates, LLP	SD	Optometrist	$0	$6M
Sanford Health Network	SD	General Acute Care Hospital	$0	$4.4M
John Bormes	SD	Ophthalmology Physician	$2.6M	$0
Avera St. Luke's	SD	Family Medicine Physician	$0	$2.3M
Sanford Health Network	SD	General Acute Care Hospital	$0	$1.9M
Avera At Home	SD	Home Health Agency	$0	$1.6M
Avera St Lukes	SD	General Acute Care Hospital	$0	$1.5M
Ty Hanson	SD	Dermatology Physician	$1.2M	$0

Northern Plains Oral And Maxillofacial Surgery LLC — Billing Profile & Reimbursement Data

Sign up for Northern Plains Oral And Maxillofacial Surgery LLC — Billing Profile & Reimbursement Data policy alerts

Northern Plains Oral And Maxillofacial Surgery LLC — Billing Profile & Reimbursement Data

Sign up for Northern Plains Oral And Maxillofacial Surgery LLC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References