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

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

Bright Dental Madison LLC (NPI 1518422880)

Field	Value
Entity Type	Organization
Organization	Bright Dental Madison LLC
Address	7866 Mineral Point Rd
City	Madison
State	WI
ZIP	53717
Taxonomy	Dental Clinic/Center
NPI Enumerated	January 31, 2019

Payer Source	Total Paid
Medicaid	$5.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

36 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…	9,980	$100	$987.7K
D1351	Sealant - per tooth	38,000	$20	$760K
D2392	Post 2 surface resin‑based composite	9,240	$70	$600.3K
D0210	Intraoral - complete series of radiographic images	11,690	$50	$596.3K
D2393	Resin-based composite, three surfaces, posterior	5,600	$80	$425.8K
D2391	Resin‑based composite – one surface, posterior	6,730	$50	$329.7K
D0150	Comprehensive oral evaluation – new or established patient	12,970	$20	$311.2K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	5,520	$30	$182.1K
D7230	N/A	900	$190	$169.5K
D4355	N/A	2,020	$80	$166K

Showing 1–10 of 36

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Wisconsin Distribution

Bright Dental Madison LLC — 8 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wisconsin

Full comparison — all codes billed, vs. Wisconsin median

36 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D7240	N/A	13	20	130	$220	$203.5K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…	6	120	490	$100	$179.5K
D7230	N/A	4	30	110	$180	$163.8K
D2392	Post 2 surface resin‑based composite	11	270	510	$60	$123.3K
D3330	N/A	10	10	160	$320	$123K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	53	220	430	$50	$111.4K
D1351	Sealant - per tooth	7	340	1,020	$20	$90.2K
D2393	Resin-based composite, three surfaces, posterior	5	140	270	$70	$72.8K
D2391	Resin‑based composite – one surface, posterior	17	240	300	$50	$71.8K
D1120	Prophylaxis–child	74	520	460	$30	$62.6K

Showing 1–10 of 36

Nearby Providers

Other providers in the same ZIP code as Bright Dental Madison LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lumicera Health Services, LLC	WI	Specialty Pharmacy	$0	$9.4M
Janice Scholz	WI	Behavior Analyst	$0	$5.7M
Brittany Schumacher	WI	Behavior Analyst	$0	$2.8M
Erin Junemann	WI	Behavior Analyst	$0	$2.4M
Joseph Perron	WI	Clinical Psychologist	$0	$1.9M
Jodie Deruyter	WI	Behavior Analyst	$0	$1.9M
Crystal Held	WI	Behavior Analyst	$0	$1.7M
Michelle Sherman	WI	Social Worker	$0	$1.6M
Kimberly Knippel	WI	Behavior Analyst	$0	$1.4M
Britney Bries	WI	Pediatric Dentistry	$0	$1.4M

Bright Dental Madison LLC — Billing Profile & Reimbursement Data

Sign up for Bright Dental Madison LLC — Billing Profile & Reimbursement Data policy alerts

Bright Dental Madison LLC — Billing Profile & Reimbursement Data

Sign up for Bright Dental Madison 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