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

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

The Dental Group, LLC (NPI 1598727653)

Field	Value
Entity Type	Organization
Organization	The Dental Group, LLC
Address	34359 Carpenters Way
City	Lewes
State	DE
ZIP	19958
Taxonomy	Dentist
NPI Enumerated	April 4, 2006

Payer Source	Total Paid
Medicaid	$1.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2392	Post 2 surface resin‑based composite	1,210	$200	$243K
D0120	Periodic oral evaluation - established patient	4,010	$40	$156.4K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	2,280	$70	$152.6K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	4,240	$30	$139.8K
D1120	Prophylaxis–child	2,150	$50	$109.5K
D2391	Resin‑based composite – one surface, posterior	630	$150	$95.6K
D1351	Sealant - per tooth	1,990	$50	$91.4K
D0274	N/A	1,610	$50	$83.6K
D2393	Resin-based composite, three surfaces, posterior	260	$240	$63.2K
D0330	N/A	750	$80	$63.2K

Showing 1–10 of 17

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Delaware Distribution

The Dental Group, LLC — 0 of 14 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Delaware

Full comparison — all codes billed, vs. Delaware median

17 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2392	Post 2 surface resin‑based composite	31	90	490	$220	$366.3K
D2393	Resin-based composite, three surfaces, posterior	19	40	260	$270	$226.1K
D1351	Sealant - per tooth	31	70	1,690	$40	$217.1K
D2391	Resin‑based composite – one surface, posterior	28	70	320	$180	$192K
D1120	Prophylaxis–child	35	120	960	$50	$163.3K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	32	130	1,220	$30	$116.9K
D0120	Periodic oral evaluation - established patient	32	160	800	$40	$110.5K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	33	160	330	$60	$82.3K
D0272	N/A	40	80	430	$40	$71.6K
D0274	N/A	28	130	330	$50	$57.4K

Showing 1–10 of 17

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Beebe Medical Center, Inc.	DE	General Acute Care Hospital	$0	$29.2M
Beebe Physician Network Inc.	DE	Internal Medicine Physician	$0	$19.7M
Juliano Senior Care, Inc.	DE	In Home Supportive Care Agency	$0	$5.9M
Sussex Emergency Associates LLC	DE	Emergency Medicine Physician	$0	$4.3M
Lourdes Aponte	DE	Rheumatology Physician	$3.6M	$0
Jose Pando	DE	Rheumatology Physician	$3.2M	$0
Delaware Psychological Services LLC	DE	Mental Health Counselor	$0	$3M
The Pediatric & Adolescent Center	DE	Specialist	$0	$2.9M
Sea Haven Home Care, LLC	DE	In Home Supportive Care Agency	$0	$2.3M
Southern Delaware Imaging Assoc	DE	Diagnostic Radiology Physician	$0	$2.3M

The Dental Group, LLC — Billing Profile & Reimbursement Data

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The Dental Group, LLC — 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