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

Why is the Medicaid comparison limited to South Dakota 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. South Dakota (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.

Tj Loftus Dental P.C. (NPI 1578624409)

Field	Value
Entity Type	Organization
Organization	Tj Loftus Dental P.C.
Address	866 Lazelle St
City	Sturgis
State	SD
ZIP	57785
Taxonomy	General Practice Dentistry
NPI Enumerated	December 13, 2006

Payer Source	Total Paid
Medicaid	$159.8K
Medicare	$0

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D0120	Periodic oral evaluation - established patient	1,820	$30	$49.2K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	650	$50	$32.5K
D1120	Prophylaxis–child	900	$40	$32.5K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	1,460	$20	$32.1K
D0274	N/A	330	$30	$11.1K
D0210	Intraoral - complete series of radiographic images	30	$80	$2K
D0220	Intraoral - periapical first radiographic image	30	$20	$440
D1351	Sealant - per tooth	50	$0	$0

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. South Dakota Distribution

Tj Loftus Dental P.C. — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Dakota

Full comparison — all codes billed, vs. South Dakota median

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D1351	Sealant - per tooth	46	50	400	$30	$117.3K
D1120	Prophylaxis–child	26	140	150	$40	$59.7K
D0210	Intraoral - complete series of radiographic images	30	40	40	$100	$55.6K
D0120	Periodic oral evaluation - established patient	19	180	320	$30	$50.8K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	30	160	270	$30	$50.1K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	32	140	200	$60	$41.2K
D0220	Intraoral - periapical first radiographic image	59	90	130	$30	$30.6K
D0274	N/A	34	110	120	$40	$18.9K

Nearby Providers

Other providers in the same ZIP code as Tj Loftus Dental P.C., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Black Hills Special Services Cooperative	SD	Developmentally Disabled Services Day Training Agency	$0	$33.7M
Monument Health Network, Inc.	SD	Multi-Specialty Clinic/Center	$0	$737.5K
Black Hills Special Services	SD	Case Management Agency	$0	$551.6K
Action For The Betterment Of The Community	SD	Community/Behavioral Health Agency	$0	$538.1K
Black Hills Counseling LLC	SD	Mental Health Counselor	$0	$491.4K
Black Hills Special Services Cooperative	SD	Case Management Agency	$0	$471.3K
Northern Hills Eye Care, Prof. L.L.C.	SD	Optometrist	$0	$428.4K
Sturgis Chiropractic, P.C.	SD	Chiropractor	$0	$277.3K
City Of Sturgis	SD	Land Ambulance	$174.7K	$35K
Meade School District 46 1	SD	Local Education Agency (LEA)	$0	$196.9K

Tj Loftus Dental P.C. — Billing Profile & Reimbursement Data

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Tj Loftus Dental P.C. — Billing Profile & Reimbursement Data

Sign up for Tj Loftus Dental P.C. — 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