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

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

Garner Family Dental (NPI 1558884684)

Field	Value
Entity Type	Organization
Organization	Garner Family Dental
Address	3311 Sw 9th St Ste 200
City	Des Moines
State	IA
ZIP	50315
Taxonomy	General Practice Dentistry
NPI Enumerated	July 20, 2017

Payer Source	Total Paid
Medicaid	$892.1K
Medicare	$0

Medicaid: Complete Services Breakdown

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

21 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	2,950	$40	$106.3K
D4910	Periodontal maintenance procedures	1,750	$60	$105.2K
D2392	Post 2 surface resin‑based composite	1,360	$70	$92.7K
D2740	N/A	240	$370	$88.2K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	4,840	$20	$72.5K
D0120	Periodic oral evaluation - established patient	3,640	$20	$61.8K
D0210	Intraoral - complete series of radiographic images	1,270	$50	$59.8K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	970	$50	$48.5K
D0274	N/A	2,770	$20	$47K
D0230	Intraoral - periapical each additional radiographic image	6,410	$10	$44.8K

Showing 1–10 of 21

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Iowa Distribution

Garner Family Dental — 0 of 21 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Iowa

Full comparison — all codes billed, vs. Iowa median

21 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2740	N/A	10	50	60	$360	$101.8K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	49	170	330	$50	$88.3K
D2950	N/A	17	30	160	$100	$66.1K
D2392	Post 2 surface resin‑based composite	42	210	230	$60	$58.6K
D4341	Periodontal scaling and root planing - four or more teeth per quadrant	34	50	210	$70	$46K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	62	630	370	$30	$36.8K
D2391	Resin‑based composite – one surface, posterior	53	190	210	$40	$34.7K
D0120	Periodic oral evaluation - established patient	105	830	530	$20	$34.1K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	79	630	500	$10	$33.3K
D0210	Intraoral - complete series of radiographic images	29	150	160	$30	$28.3K

Showing 1–10 of 21

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Legacy Dental, P.C.	IA	Oral and Maxillofacial Surgery Clinic/Center	$0	$4.2M
Mercy Clinics, Inc.	IA	Primary Care Clinic/Center	$0	$2.8M
Mercyone Central Iowa Urgent Care	IA	Clinic/Center	$0	$1.1M
Hy-vee Inc	IA	Community/Retail Pharmacy	$162.4K	$188.6K
Nadia Clark	IA	Family Nurse Practitioner	$202.4K	$0
David Scott	IA	Optometrist	$66.8K	$11.3K
Paul Snowdy	IA	Physician Assistant	$69.8K	$0
Sue Forkah-musoro	IA	Adult Health Nurse Practitioner	$65.3K	$0
Joseph Johns	IA	Physical Therapist	$45K	$0
Anne Hytrek	IA	Registered Dietitian	$5.5K	$0

Garner Family Dental — Billing Profile & Reimbursement Data

Sign up for Garner Family Dental — Billing Profile & Reimbursement Data policy alerts

Garner Family Dental — Billing Profile & Reimbursement Data

Sign up for Garner Family Dental — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References