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

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

Hathaway Road Dental, PC (NPI 1538246616)

Field	Value
Entity Type	Organization
Organization	Hathaway Road Dental, PC
Address	1070 Saint James Ave
City	Springfield
State	MA
ZIP	01104
Taxonomy	General Practice Dentistry
NPI Enumerated	November 1, 2006

Payer Source	Total Paid
Medicaid	$18.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

41 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2392	Post 2 surface resin‑based composite	16,700	$110	$1.8M
D8670	N/A	7,140	$250	$1.8M
D1120	Prophylaxis–child	34,180	$50	$1.8M
D0120	Periodic oral evaluation - established patient	45,480	$30	$1.3M
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	47,370	$30	$1.2M
D2391	Resin‑based composite – one surface, posterior	13,130	$90	$1.1M
D2930	N/A	5,560	$200	$1.1M
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	16,370	$70	$1.1M
D1351	Sealant - per tooth	26,020	$40	$1.1M
D8080	N/A	840	$1,180	$996.1K

Showing 1–10 of 41

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Massachusetts Distribution

Hathaway Road Dental, PC — 15 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Massachusetts

Full comparison — all codes billed, vs. Massachusetts median

41 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D8670	N/A	25	260	1,530	$230	$664.9K
D7240	N/A	17	70	460	$320	$432.9K
D8080	N/A	12	90	170	$1,100	$416K
D2930	N/A	8	90	830	$180	$325.7K
D7230	N/A	36	60	170	$240	$151K
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…	51	370	300	$130	$138.7K
D1120	Prophylaxis–child	8	1,050	470	$50	$119.2K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	37	1,480	900	$50	$118.2K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	73	440	410	$70	$115.7K
D2392	Post 2 surface resin‑based composite	6	780	420	$80	$109.6K

Showing 1–10 of 41

Related Providers

Other providers that share a Tax Identification Number (TIN) with Hathaway Road Dental, PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hathaway Road Dental, PC	MA	General Practice Dentistry	$0	$10.2M
Hathaway Road Dental, PC	MA	General Practice Dentistry	$0	$9.1M
Hathaway Road Dental, PC	MA	General Practice Dentistry	$0	$8.7M
Hathaway Road Dental, PC	MA	General Practice Dentistry	$0	$7.7M
Hathaway Road Dental, PC	MA	General Practice Dentistry	$0	$7.2M
Hathaway Road Dental, PC	MA	General Practice Dentistry	$0	$6.1M

Nearby Providers

Other providers in the same ZIP code as Hathaway Road Dental, PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Behavioral Health Network Inc	MA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$238.6M
Gandara Mental Health Center Inc	MA	Mental Health Counselor	$0	$133.1M
Behavioral Health Network, Inc	MA	Methadone Clinic	$1.3M	$108.4M
The Mercy Hospital Inc	MA	General Acute Care Hospital	$0	$98.9M
Behavioral Health Network, Inc	MA	Adult Day Care Clinic/Center	$0	$76.5M
American Medical Response Of Massachusetts Inc	MA	Ambulance	$8.7M	$51.7M
Greater Springfield Senior Services, Inc.	MA	Case Management Agency	$0	$55.1M
Viability, Inc.	MA	Adult Care Home Facility	$0	$46.8M
Riverbend Medical Group, Inc.	MA	Internal Medicine Physician	$0	$38.8M
International Health Solutions,inc	MA	Home Health Agency	$0	$27.3M

Hathaway Road Dental, PC — Billing Profile & Reimbursement Data

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Hathaway Road Dental, PC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References