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

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

Misa04, LLC (NPI 1588366611)

Field	Value
Entity Type	Organization
Organization	Misa04, LLC
Address	3020 S Reserve St
City	Missoula
State	MT
ZIP	59801
Taxonomy	General Practice Dentistry
NPI Enumerated	March 21, 2023

Payer Source	Total Paid
Medicaid	$767.3K
Medicare	$0

Medicaid: Complete Services Breakdown

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

24 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2740	N/A	490	$590	$284.3K
D0367	N/A	340	$260	$87.4K
D2950	N/A	470	$120	$57K
D9243	N/A	170	$270	$47.7K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	850	$50	$41.4K
D2392	Post 2 surface resin‑based composite	240	$120	$29.5K
D4910	Periodontal maintenance procedures	450	$60	$29K
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…	250	$100	$25.5K
D0274	N/A	670	$30	$21.3K
D0120	Periodic oral evaluation - established patient	920	$20	$21K

Showing 1–10 of 24

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Montana Distribution

Misa04, LLC — 0 of 24 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Montana

Full comparison — all codes billed, vs. Montana median

24 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D0367	N/A	16	20	530	$250	$273K
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…	21	40	280	$110	$233.2K
D9243	N/A	6	10	170	$150	$212.8K
D2392	Post 2 surface resin‑based composite	71	130	310	$120	$173.4K
D9612	N/A	5	10	140	$80	$128.1K
D9239	N/A	5	10	110	$70	$99.4K
D2740	N/A	3	30	60	$580	$92.8K
D2393	Resin-based composite, three surfaces, posterior	31	60	70	$160	$59.6K
D4341	Periodontal scaling and root planing - four or more teeth per quadrant	19	30	100	$140	$59.2K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	93	260	340	$20	$54.4K

Showing 1–10 of 24

Nearby Providers

Other providers in the same ZIP code as Misa04, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Western Montana Mental Health Center	MT	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$87.8M
Opportunity Resources Inc	MT	Developmentally Disabled Services Day Training Agency	$0	$48.5M
Missoula Developmental Service Corp	MT	Non-emergency Medical Transport (VAN)	$0	$33.6M
Express Personnel Services	MT	Nursing Care Agency	$0	$20.4M
3 Rivers Mental Health Solutions LLC	MT	Community/Behavioral Health Agency	$0	$16.7M
Missoula County Public Schools	MT	Local Education Agency (LEA)	$0	$16.3M
Meadowlark Home Care LLC	MT	Home Health Agency	$0	$12.9M
Client Dedicated Services, Inc	MT	Home Health Agency	$0	$10.6M
Children's Dentistry Of The Rockies	MT	Pediatric Dentistry	$0	$10.1M
Missoula Pediatric Dentistry PC	MT	Pediatric Dentistry	$0	$9.3M

Misa04, LLC — Billing Profile & Reimbursement Data

Sign up for Misa04, LLC — Billing Profile & Reimbursement Data policy alerts

Misa04, LLC — Billing Profile & Reimbursement Data

Sign up for Misa04, LLC — 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