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

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

Northern Maine Oral & Facial Surgery PA (NPI 1578771465)

Field	Value
Entity Type	Organization
Organization	Northern Maine Oral & Facial Surgery PA
Address	181 Academy Street
City	Presque Isle
State	ME
ZIP	04769
Taxonomy	Oral and Maxillofacial Surgery (Dentist)
NPI Enumerated	May 21, 2007

Payer Source	Total Paid
Medicaid	$3.5M
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
D7241	N/A	2,410	$260	$621.3K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	6,160	$100	$585K
D7240	N/A	2,460	$220	$532.2K
D9223	N/A	2,520	$190	$474.5K
D9222	N/A	3,220	$140	$461K
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…	1,750	$120	$205.2K
D0330	N/A	3,810	$50	$202K
D9610	N/A	1,200	$170	$198.2K
D0140	Limited oral evaluation – problem focused	2,430	$30	$65.7K
D0150	Comprehensive oral evaluation – new or established patient	1,050	$60	$64.3K

Showing 1–10 of 15

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Maine Distribution

Northern Maine Oral & Facial Surgery PA — 4 of 14 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maine

Full comparison — all codes billed, vs. Maine median

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	31	30	6,230	$70	$515.4K
D7241	N/A	1	10	1,230	$260	$316.6K
D9223	N/A	4	20	1,140	$170	$267.2K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	10	70	630	$100	$235.5K
D9222	N/A	3	20	870	$140	$195.2K
D7240	N/A	1	10	990	$200	$186.6K
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…	8	30	280	$120	$143.2K
96375	Following the administration of a drug or other substance via intravenous, or IV, push, the provider sequentially infuses a different medication or medications, also via IV push. He administers the…	31	40	5,160	$20	$137.5K
D9610	N/A	1	10	710	$140	$100.9K
D0150	Comprehensive oral evaluation – new or established patient	21	100	310	$50	$39.3K

Showing 1–10 of 15

Nearby Providers

Other providers in the same ZIP code as Northern Maine Oral & Facial Surgery PA, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Aroostook Mental Health Services, Inc.	ME	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$53.2M
The Aroostook Medical Center	ME	General Acute Care Hospital	$0	$38.5M
Central Aroostook Association	ME	Local Education Agency (LEA)	$0	$36.5M
Personal Services Of Aroostook	ME	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$10.7M
Life By Design, PA	ME	Clinical Social Worker	$0	$9.9M
Aroostook Agency On Aging	ME	In Home Supportive Care Agency	$0	$7.9M
Discovery House Wc, Inc.	ME	Methadone Clinic	$0	$4M
Pines Health Services	ME	Federally Qualified Health Center (FQHC)	$0	$3.7M
Dunrovin Enterprises, Inc.	ME	In Home Supportive Care Agency	$0	$3.1M
Aroostook Dental Clinic, Inc.	ME	Dental Clinic/Center	$0	$2.7M

Northern Maine Oral & Facial Surgery PA — Billing Profile & Reimbursement Data

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Northern Maine Oral & Facial Surgery PA — 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