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

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

Khushbu Mody (NPI 1548678204)

Field	Value
Entity Type	Individual
Organization	Khushbu Mody
Address	3885 Mundy Mill Rd Ste 116
City	Oakwood
State	GA
ZIP	30566
Taxonomy	Dentist
NPI Enumerated	July 25, 2014

Payer Source	Total Paid
Medicaid	$607.9K
Medicare	$0

Medicaid: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1120	Prophylaxis–child	3,620	$40	$144.6K
D1351	Sealant - per tooth	2,320	$50	$113.6K
D0120	Periodic oral evaluation - established patient	3,720	$30	$100.4K
D1208	Topical application of fluoride - excluding varnish	3,620	$30	$90.4K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	920	$40	$32.9K
D0274	N/A	1,940	$20	$31K
D0150	Comprehensive oral evaluation – new or established patient	1,250	$20	$25K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	480	$50	$22K
D2392	Post 2 surface resin‑based composite	270	$50	$14K
D0272	N/A	1,020	$10	$9.2K

Showing 1–10 of 15

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Georgia Distribution

Khushbu Mody — 0 of 15 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Georgia

Full comparison — all codes billed, vs. Georgia median

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2392	Post 2 surface resin‑based composite	38	80	270	$90	$262.3K
D2391	Resin‑based composite – one surface, posterior	46	60	190	$80	$186.8K
D1351	Sealant - per tooth	17	70	580	$30	$176.7K
D1120	Prophylaxis–child	25	140	620	$30	$173.7K
D0120	Periodic oral evaluation - established patient	27	150	640	$20	$117.8K
D1208	Topical application of fluoride - excluding varnish	15	90	560	$20	$110.3K
D0274	N/A	22	110	340	$30	$96.8K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	24	70	240	$70	$85.9K
D0272	N/A	37	110	410	$20	$83.8K
D0150	Comprehensive oral evaluation – new or established patient	25	130	210	$30	$75.4K

Showing 1–10 of 15

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kelly O'dell	GA	Family Medicine Physician	$152.8K	$35.4K
Marti Gibbs	GA	Family Medicine Physician	$155.5K	$0
Thomas Brosky	GA	Foot & Ankle Surgery Podiatrist	$89.9K	$0
Robert Kelly	GA	Family Medicine Physician	$63.7K	$0
Farhad Yazdi	GA	Family Medicine Physician	$45.3K	$0

Khushbu Mody — Billing Profile & Reimbursement Data

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Khushbu Mody — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References