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

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

Lawrence Romney (NPI 1598924078)

Field	Value
Entity Type	Individual
Organization	Lawrence Romney
Address	525 E 100 S
City	Salt Lake City
State	UT
ZIP	84102
Taxonomy	Pediatric Dentistry
NPI Enumerated	June 9, 2008

Payer Source	Total Paid
Medicaid	$441.4K
Medicare	$0

Medicaid: Complete Services Breakdown

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D0120	Periodic oral evaluation - established patient	2,070	$80	$161.1K
D0150	Comprehensive oral evaluation – new or established patient	620	$80	$52.2K
D1351	Sealant - per tooth	2,100	$20	$50.5K
D2150	Amalgam - two surfaces, primary or permanent	490	$90	$41.7K
D1120	Prophylaxis–child	2,360	$20	$35.4K
D2930	N/A	280	$90	$25.9K
D2140	Amalgam - one surface, primary or permanent	300	$70	$20.3K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	2,860	$10	$20K
D0272	N/A	810	$20	$16.2K
D3220	N/A	100	$60	$5.7K

Showing 1–10 of 17

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Utah Distribution

Lawrence Romney — 0 of 16 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Utah

Full comparison — all codes billed, vs. Utah median

17 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D0120	Periodic oral evaluation - established patient	120	470	460	$80	$149.8K
D1351	Sealant - per tooth	48	190	620	$30	$60.7K
D2930	N/A	34	70	280	$70	$57.7K
D0140	Limited oral evaluation – problem focused	148	260	140	$120	$55.8K
D2150	Amalgam - two surfaces, primary or permanent	89	220	290	$60	$45K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	88	150	170	$60	$35.9K
D0220	Intraoral - periapical first radiographic image	303	440	470	$20	$32.8K
D0150	Comprehensive oral evaluation – new or established patient	61	420	110	$100	$30.8K
D1120	Prophylaxis–child	102	420	440	$20	$30.7K
D9420	N/A	25	30	90	$110	$30.4K

Showing 1–10 of 17

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lcr Dental Rock Springs LLC	WY	Dentist	$0	$1.1M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Emergency Physicians Integrated Care, LLC	UT	Emergency Medicine Physician	$0	$31.2M
Helping Hand Association	UT	Substance Abuse Rehabilitation Facility	$0	$18.4M
House Of Hope	UT	Substance Abuse Rehabilitation Facility	$0	$11.6M
Odyssey House Inc	UT	Family Medicine Physician	$0	$10.1M
Salt Lake Regional Medical Center LP	UT	General Acute Care Hospital	$0	$9.8M
Lyssa Inc	UT	Ambulatory Surgical Clinic/Center	$0	$7.2M
First Step House	UT	Clinical Medical Laboratory	$0	$2.3M
Planned Parenthood Association Of Utah	UT	Voluntary or Charitable Agency	$0	$1.4M
University Of Utah Behavioral Health Services	UT	Psychiatry Physician	$0	$1.3M
S-h Opco Salt Lake City, LLC	UT	Assisted Living Facility	$0	$879.2K

Lawrence Romney — Billing Profile & Reimbursement Data

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Lawrence Romney — 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