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

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

William Menegas (NPI 1619029931)

Field	Value
Entity Type	Individual
Organization	William Menegas
Address	3 S Prospect Ave
City	Park Ridge
State	IL
ZIP	60068
Taxonomy	General Practice Dentistry
NPI Enumerated	January 17, 2007

Payer Source	Total Paid
Medicaid	$3.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

22 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1351	Sealant - per tooth	12,360	$60	$754.1K
D1120	Prophylaxis–child	16,530	$40	$661.2K
D0120	Periodic oral evaluation - established patient	16,980	$30	$458.4K
D4341	Periodontal scaling and root planing - four or more teeth per quadrant	2,600	$160	$415.7K
D1208	Topical application of fluoride - excluding varnish	15,950	$30	$398.8K
D0150	Comprehensive oral evaluation – new or established patient	7,490	$20	$164.8K
D0330	N/A	7,970	$20	$159.3K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	2,780	$40	$116.6K
D0274	N/A	7,710	$20	$115.7K
D1354	N/A	1,930	$30	$48.3K

Showing 1–10 of 22

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Illinois Distribution

William Menegas — 10 of 22 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Illinois

Full comparison — all codes billed, vs. Illinois median

22 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D1120	Prophylaxis–child	37	2,140	960	$40	$89.1K
D1351	Sealant - per tooth	19	1,270	530	$60	$87.1K
D4341	Periodontal scaling and root planing - four or more teeth per quadrant	17	510	230	$160	$83.3K
D0120	Periodic oral evaluation - established patient	34	2,170	1,010	$30	$64.3K
D1208	Topical application of fluoride - excluding varnish	12	1,480	700	$20	$45.2K
D2392	Post 2 surface resin‑based composite	1,076	1,300	290	$60	$44K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	845	980	190	$60	$40.4K
D1354	N/A	21	150	220	$30	$27.6K
D8999	N/A	18	100	150	$40	$25.8K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	43	1,260	270	$40	$23.8K

Showing 1–10 of 22

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Christos Tsaliagos	IL	Dentist	$0	$5.8M
Kevin Wiseman	IL	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$4M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
John Hamilton	IL	Anatomic Pathology & Clinical Pathology Physician	$6.4K	$11.7M
Medlab Technologies LLC	IL	Clinical Medical Laboratory	$7.3M	$87.6K
Michael Pins	IL	Specialist	$67.2K	$5.6M
Rahul Khapekar	IL	Family Medicine Physician	$5.2M	$410
Advocate Health And Hospitals Corporation	IL	General Acute Care Hospital	$0	$3.9M
Cranial Technologies, Inc.	IL	Prosthetic/Orthotic Supplier	$0	$3.1M
Rajendra Gogia	IL	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$893.5K	$1.6M
Oliver Kim	IL	Anatomic Pathology & Clinical Pathology Physician	$98.6K	$2M
Andrea Blumstein	IL	Anatomic Pathology & Clinical Pathology Physician	$66.1K	$1.9M
City Of Park Ridge	IL	Land Ambulance	$463.9K	$1.1M

William Menegas — Billing Profile & Reimbursement Data

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William Menegas — 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