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

Why is the Medicaid comparison limited to South Dakota 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. South Dakota (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.

Winner Dental Clinic, Prof. LLC (NPI 1609483015)

Field	Value
Entity Type	Organization
Organization	Winner Dental Clinic, Prof. LLC
Address	911 Golden Prairie Dr
City	Winner
State	SD
ZIP	57580
Taxonomy	Dental Clinic/Center
NPI Enumerated	September 29, 2020

Payer Source	Total Paid
Medicaid	$108.9K
Medicare	$0

Medicaid: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D0120	Periodic oral evaluation - established patient	1,030	$30	$28.7K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	500	$50	$25.3K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	960	$20	$22K
D1120	Prophylaxis–child	380	$40	$14.2K
D2392	Post 2 surface resin‑based composite	90	$90	$8.5K
D0274	N/A	170	$30	$5.8K
D2391	Resin‑based composite – one surface, posterior	30	$80	$1.9K
D0150	Comprehensive oral evaluation – new or established patient	30	$40	$1.2K
D0210	Intraoral - complete series of radiographic images	10	$90	$1.2K
D0220	Intraoral - periapical first radiographic image	10	$20	$220

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. South Dakota Distribution

Winner Dental Clinic, Prof. LLC — 0 of 10 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Dakota

Full comparison — all codes billed, vs. South Dakota median

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2391	Resin‑based composite – one surface, posterior	32	40	150	$80	$115.5K
D2392	Post 2 surface resin‑based composite	32	60	100	$100	$89.5K
D1120	Prophylaxis–child	53	140	150	$40	$59.7K
D0210	Intraoral - complete series of radiographic images	36	40	40	$100	$55.6K
D0120	Periodic oral evaluation - established patient	41	180	320	$30	$50.8K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	42	160	270	$30	$50.1K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	42	140	200	$60	$41.2K
D0150	Comprehensive oral evaluation – new or established patient	79	110	100	$60	$30.9K
D0220	Intraoral - periapical first radiographic image	78	90	130	$30	$30.6K
D0274	N/A	49	110	120	$40	$18.9K

Nearby Providers

Other providers in the same ZIP code as Winner Dental Clinic, Prof. LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Connections Inc	SD	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$22.6M
Southern Plains Behavioral Health Services Inc	SD	Community/Behavioral Health Agency	$0	$6.8M
Winner Regional Healthcare Center	SD	Rural Health Clinic/Center	$0	$3M
Twobros. Inc.	SD	Assisted Living Facility	$0	$1.3M
Guardian Flight LLC	SD	Air Ambulance	$336.6K	$405K
Dr Daniel L Peters Od PC	SD	Optometrist	$0	$396.6K
Winner Regional Healthcare Center	SD	Critical Access Hospital	$0	$390.1K
Manke Family Dentistry, PC	SD	Dentist	$0	$224.9K
County Of Tripp	SD	Land Ambulance	$154.3K	$65.3K
Winner Regional Health Clinic	SD	Family Nurse Practitioner	$0	$192.7K

Winner Dental Clinic, Prof. LLC — Billing Profile & Reimbursement Data

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Winner Dental Clinic, Prof. LLC — Billing Profile & Reimbursement Data

Sign up for Winner Dental Clinic, Prof. LLC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References