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

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

Advanced Family Dental Care (NPI 1588808679)

Field	Value
Entity Type	Organization
Organization	Advanced Family Dental Care
Address	3500 Latouche St
City	Anchorage
State	AK
ZIP	99508
Taxonomy	General Practice Dentistry
NPI Enumerated	April 21, 2009

Payer Source	Total Paid
Medicaid	$609.5K
Medicare	$0

Medicaid: Complete Services Breakdown

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

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	2,090	$70	$143.9K
D0274	N/A	1,700	$50	$81.4K
D2392	Post 2 surface resin‑based composite	570	$130	$75.1K
D0330	N/A	820	$80	$63.2K
D0120	Periodic oral evaluation - established patient	1,060	$40	$41.2K
D0140	Limited oral evaluation – problem focused	650	$60	$35.9K
D2740	N/A	70	$500	$33.2K
D0220	Intraoral - periapical first radiographic image	1,420	$20	$29.9K
D0150	Comprehensive oral evaluation – new or established patient	590	$50	$29.8K
D1120	Prophylaxis–child	360	$60	$19.5K

Showing 1–10 of 19

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Alaska Distribution

Advanced Family Dental Care — 0 of 19 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alaska

Full comparison — all codes billed, vs. Alaska median

19 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D0140	Limited oral evaluation – problem focused	46	150	290	$220	$215.6K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	117	160	510	$100	$212.9K
D0220	Intraoral - periapical first radiographic image	39	160	300	$130	$181K
D0120	Periodic oral evaluation - established patient	61	190	390	$100	$141.4K
D2392	Post 2 surface resin‑based composite	31	110	220	$150	$126.5K
D2740	N/A	19	30	110	$520	$117.3K
D1120	Prophylaxis–child	58	140	230	$70	$106.8K
D2393	Resin-based composite, three surfaces, posterior	31	40	100	$180	$104.5K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	15	180	290	$100	$80K
D0150	Comprehensive oral evaluation – new or established patient	45	150	220	$90	$72.8K

Showing 1–10 of 19

Advanced Family Dental Care — Billing Profile & Reimbursement Data

Sign up for Advanced Family Dental Care — Billing Profile & Reimbursement Data policy alerts

Advanced Family Dental Care — Billing Profile & Reimbursement Data

Sign up for Advanced Family Dental Care — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Frequently Asked Questions

References