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

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

Bear-glasgow Dental, LLC (NPI 1508951773)

Field	Value
Entity Type	Organization
Organization	Bear-glasgow Dental, LLC
Address	1290 Peoples Plz
City	Newark
State	DE
ZIP	19702
Taxonomy	General Practice Dentistry
NPI Enumerated	October 4, 2006

Payer Source	Total Paid
Medicaid	$8.2M
Medicare	$0

Key Findings

This provider is effectively single‑payer: there is no Medicare billing on file while lifetime Medicaid revenue is $8.2M, so the business is reliant on Medicaid flows for scale and volume rather than Medicare. Analysts should treat the profile as a Medicaid-centric dental practice when assessing payer relationships and reimbursement sensitivity.

Revenue concentration is high: the precomputed top 3 Medicaid codes by revenue account for 56.3% of the provider's total Medicaid revenue. The single largest line item is D9223 (2.5K claims, $1230 avg paid/claim, $3.1M revenue, 38.0% of Medicaid revenue), which alone represents a plurality of receipts and should be considered the primary revenue driver in any contracting or network-impact analysis.

The code mix for the top revenue drivers indicates a restorative dentistry focus: D2392 (Post 2 surface resin‑based composite; 4.5K claims, $229 avg paid/claim, $1M revenue, 12.5% of Medicaid revenue) and D2391 (Resin‑based composite – one surface, posterior; 2.7K claims, $179 avg paid/claim, $476.5K revenue, 5.8% of Medicaid revenue) together with those procedure descriptors point to a high-volume restorative practice handling many posterior composite restorations. Combined with the high counts for prophylaxis, fluoride, and sealant codes elsewhere in the profile, the operation appears to deliver both preventive and routine restorative services at scale.

Preventive and pediatric activity is substantial: codes associated with child prophylaxis and prevention have large claim counts (D1120 – Prophylaxis–child: 6.6K claims, $351.8K revenue; D1206 – Topical Fluoride Treatment: 11.7K claims, $373K revenue; D1351 – Sealant - per tooth: 6.7K claims, $281.9K revenue). These volumes imply steady pediatric throughput and an emphasis on preventive care that complements the restorative case mix, which is relevant for managing population oral health and for payers structuring pediatric dental benefits.

Competitive standing in-state is mixed but generally above typical for many core services: D2392 ranks #11 of 90 providers in-state (89th percentile) and D2391 ranks #9 of 69 (88th percentile), indicating this provider has higher-than-average restorative volume for those codes. Several imaging and preventive codes also show high statewide percentiles (for example, D0230 at the 95th percentile and D1110 at the 93th percentile where D1110 is labeled notably above typical state volume), which together suggest the practice is a meaningful regional participant rather than a dominant statewide leader.

Although D9223 is the largest single revenue contributor, its description is not listed; it ranks #4 of 16 providers in-state (80th percentile) and is described as typical, unremarkable volume for the code. Because an unspecified, high‑revenue code drives 38.0% of Medicaid revenue, payers should review claims details and clinical grouping for D9223 when assessing utilization patterns or designing case-mix adjustments, while avoiding assumptions about its clinical content from this summary alone.

The practice shows long tenure in the NPI registry, enumerated 2006-10-04 (~20 years ago), which supports the interpretation that current billing patterns reflect an established operation rather than a recent entrant. That longevity, combined with concentrated Medicaid revenue, suggests stability in the provider’s local referral and payer relationships and should factor into network contracting or capacity analyses.

Medicaid: Complete Services Breakdown

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

39 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D9223	N/A	2,520	$1,230	$3.1M
D2392	Post 2 surface resin‑based composite	4,460	$230	$1M
D2391	Resin‑based composite – one surface, posterior	2,660	$180	$476.5K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	11,660	$30	$373K
D0120	Periodic oral evaluation - established patient	9,070	$40	$371.9K
D1120	Prophylaxis–child	6,640	$50	$351.8K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	4,580	$70	$329.4K
D1351	Sealant - per tooth	6,710	$40	$281.9K
D9222	N/A	1,080	$250	$273.1K
D0230	Intraoral - periapical each additional radiographic image	12,630	$20	$252.5K

Showing 1–10 of 39

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Delaware Distribution

Bear-glasgow Dental, LLC — 1 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Delaware

Full comparison — all codes billed, vs. Delaware median

39 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D9223	N/A	4	20	220	$130	$498.3K
D2930	N/A	16	30	580	$260	$446.8K
D2392	Post 2 surface resin‑based composite	11	90	490	$220	$366.3K
D2393	Resin-based composite, three surfaces, posterior	15	40	260	$270	$226.1K
D1351	Sealant - per tooth	16	70	1,690	$40	$217.1K
D2391	Resin‑based composite – one surface, posterior	9	70	320	$180	$192K
D1120	Prophylaxis–child	19	120	960	$50	$163.3K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	15	60	270	$140	$137K
D9230	N/A	20	30	900	$70	$121.1K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	11	130	1,220	$30	$116.9K

Showing 1–10 of 39

Nearby Providers

Other providers in the same ZIP code as Bear-glasgow Dental, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mosaic	DE	Mental Illness Community Based Residential Treatment Facility	$0	$118.5M
Community Systems, Inc.	DE	Intellectual & Developmental Disabilities Psychologist	$0	$96.7M
Resources For Human Development Inc.	DE	Intellectual & Developmental Disabilities Psychologist	$0	$86M
Epic Health Services (de), LLC	DE	Home Health Agency	$0	$33.7M
Jay J Harris Dmd PC	DE	Dentist	$0	$16.7M
Elite Home Health Care Inc	DE	In Home Supportive Care Agency	$0	$14.8M
Accredo Health Group Inc	DE	Pharmacy	$0	$10.2M
Center For Child Development, Incorporated	DE	Psychologist	$0	$4.9M
Comfort Care At Home, Inc.	DE	Home Health Agency	$0	$4M
Collins Dental LLC	DE	Dentist	$0	$2.9M

Bear-glasgow Dental, LLC — Billing Profile & Reimbursement Data

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Bear-glasgow Dental, LLC — 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

Nearby Providers

Frequently Asked Questions

References