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

Why is the Medicaid comparison limited to Rhode Island 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. Rhode Island (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.

Northwest Dental (NPI 1588835623)

Field	Value
Entity Type	Organization
Organization	Northwest Dental
Address	36 Bridge Way
City	Pascoag
State	RI
ZIP	02859
Taxonomy	Dental Clinic/Center
NPI Enumerated	March 17, 2008

Payer Source	Total Paid
Medicaid	$4.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

27 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	25,430	$170	$4.2M
D0120	Periodic oral evaluation - established patient	3,800	$0	$0
D0140	Limited oral evaluation – problem focused	3,360	$0	$0
D0150	Comprehensive oral evaluation – new or established patient	1,330	$0	$0
D0210	Intraoral - complete series of radiographic images	1,300	$0	$0
D0220	Intraoral - periapical first radiographic image	4,550	$0	$0
D0230	Intraoral - periapical each additional radiographic image	350	$0	$0
D0270	N/A	390	$0	$0
D0272	N/A	20	$0	$0
D0274	N/A	2,380	$0	$0

Showing 1–10 of 27

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Rhode Island Distribution

Northwest Dental — 0 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Rhode Island

Full comparison — all codes billed, vs. Rhode Island median

27 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	10	120	400	$130	$896.9K
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…	25	30	350	$110	$158.2K
D1120	Prophylaxis–child	105	160	710	$30	$91.2K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	90	150	800	$30	$81.3K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	18	100	510	$50	$65.4K
D2392	Post 2 surface resin‑based composite	59	110	240	$60	$47.6K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	12	180	490	$20	$42.3K
D0120	Periodic oral evaluation - established patient	40	210	930	$10	$38.1K
D1208	Topical application of fluoride - excluding varnish	76	100	290	$20	$32.1K
D2391	Resin‑based composite – one surface, posterior	59	110	230	$40	$28.7K

Showing 1–10 of 27

Related Providers

Other providers that share a Tax Identification Number (TIN) with Northwest Dental, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Maryam Rayani	RI	Dentist	$0	$1.7M
Kanchan Pande	RI	Dentist	$0	$1.7M
Melissa Graswald	RI	General Practice Dentistry	$0	$1.5M
Teresa Jacob	RI	General Practice Dentistry	$0	$1.5M
Northwest Community Health Care	RI	Federally Qualified Health Center (FQHC)	$0	$1.4M
Ashleigh Graley	RI	General Practice Dentistry	$0	$585.9K
Nicole Burns	RI	Family Nurse Practitioner	$0	$404.4K
Patricia Tweedie	MA	Family Medicine Physician	$115.5K	$0
Michelle Fox	RI	Gerontology Nurse Practitioner	$28.8K	$0
Katherine Caldwell	RI	Physician Assistant	$16.8K	$1.5K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pascoag Fire District Light Dept	RI	Land Ambulance	$68.6K	$18.5K
Patricia Russo-magno	RI	Critical Care Medicine (Internal Medicine) Physician	$68.2K	$2.2K
Rhode Island Cvs Pharmacy, L.L.C.	RI	Pharmacy	$66.3K	$0
John Charette	RI	Clinical Social Worker	$12.2K	$6.1K
Muriel Paterson	RI	Clinical Social Worker	$14.3K	$0

Northwest Dental — Billing Profile & Reimbursement Data

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Northwest Dental — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References