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

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

Pete B. Higgins Dds LLC (NPI 1568540946)

Field	Value
Entity Type	Organization
Organization	Pete B. Higgins Dds LLC
Address	3901 Raspberry Rd
City	Anchorage
State	AK
ZIP	99502
Taxonomy	Dental Clinic/Center
NPI Enumerated	November 1, 2006

Payer Source	Total Paid
Medicaid	$993K
Medicare	$0

Medicaid: Complete Services Breakdown

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

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	3,400	$60	$193.9K
D0274	N/A	4,570	$40	$182.7K
D2392	Post 2 surface resin‑based composite	820	$130	$106.7K
D0120	Periodic oral evaluation - established patient	2,880	$30	$92.2K
D0140	Limited oral evaluation – problem focused	1,480	$50	$80K
D0330	N/A	1,030	$70	$73.8K
D0150	Comprehensive oral evaluation – new or established patient	1,520	$40	$60.7K
D2740	N/A	150	$350	$53.2K
D1208	Topical application of fluoride - excluding varnish	2,000	$20	$37.9K
D0220	Intraoral - periapical first radiographic image	1,700	$20	$32.3K

Showing 1–10 of 18

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Alaska Distribution

Pete B. Higgins Dds LLC — 2 of 18 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alaska

Full comparison — all codes billed, vs. Alaska median

18 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D0140	Limited oral evaluation – problem focused	22	150	290	$220	$215.6K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	95	160	510	$100	$212.9K
D1351	Sealant - per tooth	59	70	1,370	$50	$191.4K
D0220	Intraoral - periapical first radiographic image	36	160	300	$130	$181K
D0120	Periodic oral evaluation - established patient	25	190	390	$100	$141.4K
D2392	Post 2 surface resin‑based composite	25	110	220	$150	$126.5K
D2740	N/A	13	30	110	$520	$117.3K
D1120	Prophylaxis–child	72	140	230	$70	$106.8K
D2393	Resin-based composite, three surfaces, posterior	29	40	100	$180	$104.5K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	7	180	290	$100	$80K

Showing 1–10 of 18

Nearby Providers

Other providers in the same ZIP code as Pete B. Higgins Dds LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lifemed Alaska, LLC	AK	Ambulance	$7.5M	$78.5M
Nadon Family Home	AK	Foster Care Agency	$0	$19.7M
Guardian Flight LLC	AK	Air Ambulance	$1.9M	$13.5M
South Anchorage Dental Center	AK	Preferred Provider Organization	$0	$2.3M
Better Sight LLC	AK	Optometrist	$0	$1.2M
Smart Care	AK	Case Management Agency	$0	$1.1M
Independent Care Coordination, LLC	AK	Case Management Agency	$0	$686.1K
Guardian Flight LLC	AK	Land Ambulance	$167.8K	$421.7K
Medevac Alaska LLC	AK	Land Ambulance	$178.7K	$381.3K
National Seating & Mobility, Inc.	AK	Durable Medical Equipment & Medical Supplies	$0	$425.4K

Pete B. Higgins Dds LLC — Billing Profile & Reimbursement Data

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Pete B. Higgins Dds LLC — 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