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

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

Wells Dentistry PC (NPI 1518491877)

Payer Source	Total Paid
Medicaid	$11.1K
Medicare	$0

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	130	$60	$7.2K
D0120	Periodic oral evaluation - established patient	60	$40	$2.3K
D0150	Comprehensive oral evaluation – new or established patient	20	$40	$730
D0274	N/A	20	$40	$650
D0220	Intraoral - periapical first radiographic image	10	$20	$220

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Wyoming Distribution

Wells Dentistry PC — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wyoming

Full comparison — all codes billed, vs. Wyoming median

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D0120	Periodic oral evaluation - established patient	88	130	170	$30	$36.9K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	42	90	100	$50	$27.4K
D0220	Intraoral - periapical first radiographic image	42	50	200	$20	$19.5K
D0150	Comprehensive oral evaluation – new or established patient	49	60	70	$30	$15K
D0274	N/A	54	60	140	$30	$14.3K

Entity Type	Organization
Organization	Wells Dentistry PC
Address	1933 East A Street
City	Casper
State	WY
ZIP	82601
Taxonomy	Dentist
NPI Enumerated	April 13, 2017

Wells Dentistry PC — Billing Profile & Reimbursement Data

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Wells Dentistry PC — Billing Profile & Reimbursement Data

Sign up for Wells Dentistry PC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Frequently Asked Questions

References