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

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

David Ashley (NPI 1538459458)

Field	Value
Entity Type	Individual
Organization	David Ashley
Address	2045 Brkwd Med Ctr Dr Ste 24
City	Birmingham
State	AL
ZIP	35209
Taxonomy	Oral and Maxillofacial Surgery (Dentist)
NPI Enumerated	April 12, 2011

Payer Source	Total Paid
Medicaid	$1.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D7240	N/A	4,370	$210	$934.3K
D9222	N/A	1,900	$100	$197.6K
D9223	N/A	1,310	$90	$116.2K
D7230	N/A	130	$180	$23.1K
D0140	Limited oral evaluation – problem focused	630	$30	$15.8K
D0150	Comprehensive oral evaluation – new or established patient	350	$20	$6K
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…	50	$80	$4.1K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	60	$60	$3.2K
D1999	N/A	160	$20	$2.7K
D9610	N/A	70	$0	$0

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Alabama Distribution

David Ashley — 0 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. Alabama median

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D7240	N/A	9	60	610	$180	$336.5K
D7230	N/A	21	30	310	$160	$263.3K
D9222	N/A	16	50	430	$120	$172.6K
D9223	N/A	17	50	520	$90	$133K
D1999	N/A	239	300	1,280	$20	$81.5K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	153	190	490	$50	$76.2K
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…	12	20	120	$80	$25K
D0140	Limited oral evaluation – problem focused	99	270	320	$30	$24.9K
D0150	Comprehensive oral evaluation – new or established patient	171	380	250	$20	$21.5K
D9610	N/A	5	10	70	$1	$250

Related Providers

Other providers that share a Tax Identification Number (TIN) with David Ashley, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kool Smiles Sc-2, PC	SC	General Practice Dentistry	$0	$28.5M
Smilestars, LLC	LA	Pediatric Dentistry	$0	$16M
Creston Dental-1, P.C.	SC	General Practice Dentistry	$0	$14.8M
Oxford Dental Specialists	MS	Pediatric Dentistry	$0	$8.9M
Midlands Dental Group, P.l.	SC	Dental Clinic/Center	$0	$7.7M
Children And Teen Dental Group Of Alabama	AL	Pediatric Dentistry	$0	$7.3M
Children And Teen Dental Group Of Alabama	AL	Pediatric Dentistry	$0	$6.4M
Smiles From Us, PLLC	AL	Pediatric Dentistry	$0	$5.9M
Children And Teen Dental Group Of Alabama	AL	Pediatric Dentistry	$0	$5.2M
John Acosta	MS	Pediatric Dentistry	$0	$4.7M

Nearby Providers

Other providers in the same ZIP code as David Ashley, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Core Diagnostic Laboratories LLC	AL	Clinical Medical Laboratory	$1.3M	$44.2M
Lab Works, LLC	AL	Clinical Medical Laboratory	$738.4K	$41.6M
Valentines Home Care, Inc.	AL	Durable Medical Equipment & Medical Supplies	$0	$13.6M
Devansh Lab Werks,inc	AL	Clinical Medical Laboratory	$1.9M	$5.9M
Grayson And Associates PC	AL	Psychiatry Physician	$0	$5M
Affinity Acquisitions, LLC	AL	Community Based Hospice Care Agency	$0	$4.8M
Metro Pediatrics PC	AL	Specialist	$0	$4.5M
Birmingham Radiological Group PC	AL	Diagnostic Radiology Physician	$0	$3.5M
Proteus Molecular And Clinical Lab LLC	AL	Clinical Medical Laboratory	$236.9K	$3.2M
Greg Eudy	AL	Rheumatology Physician	$3.3M	$0

David Ashley — Billing Profile & Reimbursement Data

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David Ashley — 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