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

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

Tooth & Gums Dentistry (NPI 1588005243)

Field	Value
Entity Type	Organization
Organization	Tooth & Gums Dentistry
Address	1500 Albany Ave
City	Hartford
State	CT
ZIP	06112
Taxonomy	General Practice Dentistry
NPI Enumerated	July 10, 2013

Payer Source	Total Paid
Medicaid	$1.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2392	Post 2 surface resin‑based composite	3,540	$80	$297.4K
D0274	N/A	6,380	$30	$210.5K
D0330	N/A	3,130	$60	$184.6K
D1120	Prophylaxis–child	4,060	$40	$178.4K
D1208	Topical application of fluoride - excluding varnish	7,900	$20	$173.7K
D0120	Periodic oral evaluation - established patient	5,960	$30	$161K
D2391	Resin‑based composite – one surface, posterior	2,230	$70	$156.4K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	3,500	$40	$122.4K
D0150	Comprehensive oral evaluation – new or established patient	2,620	$40	$102.2K
D2393	Resin-based composite, three surfaces, posterior	780	$110	$87.7K

Showing 1–10 of 17

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Connecticut Distribution

Tooth & Gums Dentistry — 0 of 17 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Connecticut

Full comparison — all codes billed, vs. Connecticut median

17 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	138	140	300	$80	$145.8K
D2392	Post 2 surface resin‑based composite	46	390	620	$80	$144.8K
D1120	Prophylaxis–child	101	660	570	$40	$120.7K
D2391	Resin‑based composite – one surface, posterior	52	330	430	$60	$89.4K
D0120	Periodic oral evaluation - established patient	89	730	700	$30	$80.6K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	168	210	370	$70	$79.3K
D1351	Sealant - per tooth	59	190	580	$30	$70K
D1208	Topical application of fluoride - excluding varnish	51	560	740	$20	$66.4K
D2393	Resin-based composite, three surfaces, posterior	44	220	130	$100	$54.5K
D0330	N/A	23	330	250	$50	$53.6K

Showing 1–10 of 17

Nearby Providers

Other providers in the same ZIP code as Tooth & Gums Dentistry, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Harriott Home Health Services,llc	CT	Home Health Agency	$0	$13.1M
Klingberg Comprehensive Family Services Inc	CT	Community/Behavioral Health Agency	$0	$8.4M
Mount Sinai Rehabilitation Hospital, Inc.	CT	Rehabilitation Hospital	$0	$7.2M
Saint Francis Behavioral Health Group, P.C.	CT	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$3.2M
Dva Renal Healthcare Inc	CT	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.5M
Perfect Care, Inc.	CT	Nursing Care Agency	$0	$2.4M
M Davila Dmd PC	CT	General Practice Dentistry	$0	$1.7M
Trinity Home Health Services	CT	Home Health Agency	$0	$1.5M
State Of Connecticut	CT	Psychiatric Hospital	$0	$1.1M
Moeid Khan	CT	Physical Medicine & Rehabilitation Physician	$76.7K	$0

Tooth & Gums Dentistry — Billing Profile & Reimbursement Data

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Tooth & Gums Dentistry — 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