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

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

Ashley S. Tercero, D.d.s., P.L.L.C. (NPI 1588110464)

Field	Value
Entity Type	Organization
Organization	Ashley S. Tercero, D.d.s., P.L.L.C.
Address	3909 Creekside Loop
City	Yakima
State	WA
ZIP	98902
Taxonomy	Pediatric Dentistry
NPI Enumerated	August 30, 2016

Payer Source	Total Paid
Medicaid	$3.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

26 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2930	N/A	6,910	$150	$1M
D0120	Periodic oral evaluation - established patient	14,520	$30	$392K
D1120	Prophylaxis–child	14,100	$20	$338.4K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	15,220	$20	$289.2K
D2392	Post 2 surface resin‑based composite	3,300	$70	$244.4K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	3,180	$60	$181.4K
D9999	N/A	5,810	$30	$174.2K
D2391	Resin‑based composite – one surface, posterior	3,140	$60	$172.8K
D1351	Sealant - per tooth	3,630	$20	$83.5K
D9230	N/A	3,410	$20	$75.1K

Showing 1–10 of 26

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Washington Distribution

Ashley S. Tercero, D.d.s., P.L.L.C. — 0 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. Washington median

26 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	33	160	1,710	$140	$531.8K
D2392	Post 2 surface resin‑based composite	138	540	990	$60	$188.6K
D0120	Periodic oral evaluation - established patient	93	920	690	$20	$131.3K
D2391	Resin‑based composite – one surface, posterior	113	480	670	$50	$119.5K
D1120	Prophylaxis–child	76	730	690	$20	$112.8K
D1351	Sealant - per tooth	126	400	1,120	$20	$103.9K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	79	390	640	$50	$98.8K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	73	730	730	$20	$98.5K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	231	660	620	$30	$76.1K
D9999	N/A	44	290	690	$30	$75.9K

Showing 1–10 of 26

Nearby Providers

Other providers in the same ZIP code as Ashley S. Tercero, D.d.s., P.L.L.C., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Yakima Valley Memorial Hospital Association	WA	General Acute Care Hospital	$0	$103.5M
Total Care, Inc.	WA	Home Health Agency	$0	$34.3M
Community Health Of Central Washington	WA	Federally Qualified Health Center (FQHC)	$0	$25.9M
Yakima Valley Memorial Physicians	WA	General Acute Care Hospital	$0	$24.9M
Comprehensive Healthcare	WA	Community/Behavioral Health Agency	$0	$22.9M
Planned Parenthood Of Greater Washington & North Idaho	WA	Multi-Specialty Clinic/Center	$0	$17.8M
American Medical Response Ambulance Service Inc	WA	Ambulance	$1.6M	$10.6M
Howards Medical LLC	WA	Durable Medical Equipment & Medical Supplies	$0	$7.2M
Shc Medical Center - Yakima	WA	General Acute Care Hospital	$0	$6.9M
Yakima Valley Memorial Hospital Association	WA	Pharmacy	$0	$6.2M

Ashley S. Tercero, D.d.s., P.L.L.C. — Billing Profile & Reimbursement Data

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Ashley S. Tercero, D.d.s., P.L.L.C. — Billing Profile & Reimbursement Data

Sign up for Ashley S. Tercero, D.d.s., P.L.L.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