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

Why is the Medicaid comparison limited to New Hampshire 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. New Hampshire (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.

Montshire Henniker PC (NPI 1598400400)

Field	Value
Entity Type	Organization
Organization	Montshire Henniker PC
Address	19 Hall Ave
City	Henniker
State	NH
ZIP	03242
Taxonomy	Pediatric Dentistry
NPI Enumerated	May 4, 2022

Payer Source	Total Paid
Medicaid	$334.4K
Medicare	$0

Medicaid: Complete Services Breakdown

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

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1354	N/A	4,370	$30	$139.8K
D1351	Sealant - per tooth	2,110	$30	$69.7K
D1120	Prophylaxis–child	1,260	$40	$47.7K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	1,220	$20	$24.4K
D0150	Comprehensive oral evaluation – new or established patient	260	$60	$15.7K
D0272	N/A	400	$30	$11.7K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	130	$60	$7.7K
D0274	N/A	170	$40	$6K
D2940	N/A	80	$60	$4.7K
D0330	N/A	80	$50	$4.1K

Showing 1–10 of 14

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. New Hampshire Distribution

Montshire Henniker PC — 0 of 11 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Hampshire

Full comparison — all codes billed, vs. New Hampshire median

14 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2940	N/A	4	10	80	$50	$185.4K
D1354	N/A	5	20	550	$20	$175.1K
D1351	Sealant - per tooth	20	70	580	$30	$90.5K
D1120	Prophylaxis–child	51	160	250	$40	$89.7K
D0120	Periodic oral evaluation - established patient	130	190	240	$30	$73.2K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	81	140	200	$50	$51.6K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	28	100	250	$20	$46.5K
D0272	N/A	38	70	440	$30	$45.2K
D0150	Comprehensive oral evaluation – new or established patient	47	100	170	$50	$39.9K
D0274	N/A	46	100	140	$30	$32.8K

Showing 1–10 of 14

Nearby Providers

Other providers in the same ZIP code as Montshire Henniker PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Todd Daugherty	NH	Rheumatology Physician	$1.1M	$0
Weare Schooldistrict	NH	Local Education Agency (LEA)	$0	$146.4K
John Stark School District	NH	Local Education Agency (LEA)	$0	$122.6K
Taylor Kirkpatrick	NH	Physician Assistant	$73.4K	$0
Henniker School District	NH	Local Education Agency (LEA)	$0	$66.3K
Eric Geaumont	NH	Counselor	$0	$62.9K
Patricia Winship	NH	Physical Therapist	$49.7K	$0

Montshire Henniker PC — Billing Profile & Reimbursement Data

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Montshire Henniker PC — 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