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

Why is the Medicaid comparison limited to New Hampshire 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. New Hampshire (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.

Factor Dental, Inc (NPI 1558762419)

Field	Value
Entity Type	Organization
Organization	Factor Dental, Inc
Address	8 Vinton St
City	Manchester
State	NH
ZIP	03103
Taxonomy	Point of Service
NPI Enumerated	September 10, 2014

Payer Source	Total Paid
Medicaid	$12.5M
Medicare	$0

Key Findings

Provider is effectively a Medicaid-only biller: Total Medicare revenue is listed as none while total Medicaid revenue is $12.5M, so all reported CMS activity for this NPI is concentrated in Medicaid. The NPI was enumerated on 2014-09-10 (~12 years ago), indicating an established presence in the state Medicaid market.

Revenue concentration is materially focused in a small set of dental codes: the precomputed top-3 Medicaid codes (D8080, D0120, D1120) account for 34.1% of this provider’s total Medicaid revenue. Those top three codes individually are D8080 $1.9M (15.1%), D0120 $1.2M (9.9%), and D1120 $1.1M (9.1%), signifying that roughly one-third of Medicaid dollars flow through a concentrated set of high-volume service lines.

The code mix indicates a strong preventive and pediatric care orientation alongside general dental services: very high volumes for D1120 (30.6K claims, $1.1M revenue), D1208 (27.4K claims, $492.4K revenue), D1206 (17.4K claims, $330K revenue), and D1351 (12.1K claims, $388.3K revenue) point to substantial pediatric prophylaxis, fluoride, and sealant activity. Coupled with large counts for periodic and comprehensive evaluations such as D0120 (39.8K claims, $1.2M) and D0150 (6.6K claims, $369.5K), the practice appears operationally set up to deliver high-volume routine preventive care.

There is also significant restorative and operative activity supporting a full-service dental workflow: amalgam work represented by D2150 (9.8K claims, $1.1M revenue) and D2140 (8.4K claims, $804.3K revenue) and resin-based composites such as D2392 (5.9K claims, $646K revenue) and D2391 (5.1K claims, $480.9K revenue) comprise meaningful shares of Medicaid revenue. Extraction and oral surgery codes (e.g., D7140 3.8K claims, $379.4K revenue; D7210 335 claims, $47.2K revenue) further show that the provider is delivering operative procedures in addition to preventive services.

Competitive standing in-state is strong on many measures: the provider ranks #1 in-state on D2150, D2140, D1110 and D0330 with 100th-percentile positions and ranks at or above the 98–99th percentile for high-volume exam and prophylaxis codes (D0120 rank #3 of 191, 99th percentile; D1120 rank #3 of 162, 99th percentile; D0150 rank #3 of 104, 98th percentile). These rankings indicate the provider is a dominant volume participant in multiple Medicaid code lines within New Hampshire rather than a marginal or occasional biller.

Several individual codes are flagged as statistical outliers or notably above typical state volume and therefore merit contextual review rather than assuming routine variability: D0120 is labeled an extreme outlier (39.8K claims), D1120 is labeled an extreme outlier (30.6K claims), and D1208 is labeled an extreme outlier (27.4K claims). In addition, multiple codes such as D0274, D0272 and D0330 sit at very high percentiles (99th–100th), so utilization patterns for these high-volume items should be interpreted in the context of this provider’s service model and patient mix.

The provider demonstrates breadth across diagnostic, preventive, restorative and surgical codes, indicating a full-scope ambulatory dental operation rather than a narrowly specialized clinic: examples include diagnostic series and periapical imaging (D0210 872 claims, $52.3K; D0220 6.1K claims, $48.7K), preventive prophylaxis and fluoride (D1110 15.5K claims, $834.7K; D1208 27.4K claims, $492.4K), restorations (D2392, D2391) and extractions (D7140). This mix supports the interpretation that revenue is generated across multiple service lines, reducing reliance on any single procedure despite the top-3 concentration noted above.

Medicaid: Complete Services Breakdown

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

37 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D8080	N/A	1,620	$1,160	$1.9M
D0120	Periodic oral evaluation - established patient	39,830	$30	$1.2M
D1120	Prophylaxis–child	30,570	$40	$1.1M
D2150	Amalgam - two surfaces, primary or permanent	9,780	$110	$1.1M
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	15,460	$50	$834.7K
D2140	Amalgam - one surface, primary or permanent	8,380	$100	$804.3K
D2392	Post 2 surface resin‑based composite	5,930	$110	$646K
D1208	Topical application of fluoride - excluding varnish	27,360	$20	$492.4K
D2391	Resin‑based composite – one surface, posterior	5,060	$100	$480.9K
D9230	N/A	11,570	$40	$451.1K

Showing 1–10 of 37

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. New Hampshire Distribution

Factor Dental, Inc — 16 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Hampshire

Full comparison — all codes billed, vs. New Hampshire median

37 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	6	10	590	$210	$535.2K
D8080	N/A	2	10	30	$1,190	$430.2K
D2140	Amalgam - one surface, primary or permanent	1	10	520	$90	$223.9K
D2150	Amalgam - two surfaces, primary or permanent	1	10	140	$100	$180K
D2392	Post 2 surface resin‑based composite	4	60	330	$110	$167.9K
D3220	N/A	6	10	80	$100	$157.1K
D7240	N/A	2	10	350	$240	$131K
D2160	Amalgam - three surfaces, primary or permanent	1	10	920	$130	$115.8K
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…	11	20	300	$100	$112.8K
D2391	Resin‑based composite – one surface, posterior	4	50	150	$100	$103.9K

Showing 1–10 of 37

Nearby Providers

Other providers in the same ZIP code as Factor Dental, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Mental Health Center Of Greater Manchester	NH	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$143.9M
Easter Seals New Hampshire, Inc	NH	Developmental Disabilities Clinic/Center	$0	$63.1M
Elliot Hospital Of The City Of Manchester	NH	General Acute Care Hospital	$0	$60.5M
Easter Seals New Hampshire, Inc	NH	Developmental Disabilities Clinic/Center	$0	$37.9M
Metro Treatment Of New Hampshire, LP	NH	Methadone Clinic	$859.8K	$15.4M
Manchester Alcoholism Rehabilitation Center	NH	Substance Use Disorder Rehabilitation Clinic/Center	$0	$16M
Minuteman Medical Inc.	NH	Durable Medical Equipment & Medical Supplies	$0	$15M
Bayada Home Health Care, Inc.	NH	Home Health Agency	$0	$9.3M
Lifeshare Management Group, Inc.	NH	In Home Supportive Care Agency	$0	$8.7M
Amoskeag Health	NH	Federally Qualified Health Center (FQHC)	$0	$6.3M

Factor Dental, Inc — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References