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

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

Unmc College Of Dentistry (NPI 1629158365)

Field	Value
Entity Type	Organization
Organization	Unmc College Of Dentistry
Address	8200 Dodge St
City	Omaha
State	NE
ZIP	68114
Taxonomy	Dentist
NPI Enumerated	October 17, 2006

Payer Source	Total Paid
Medicaid	$4.8M
Medicare	$0

Key Findings

Payer mix is effectively single-payer: this provider reports no Medicare billing on file ("none"), and all recorded federal program revenue is Medicaid totaling $4.8M. The absence of Medicare activity means the entity’s public-reimbursement exposure and growth opportunities are concentrated in Medicaid policy and enrollment dynamics rather than split across payers.

Revenue concentration is high: the top three Medicaid codes (D2930, D7140, D1206) together account for 52.5% of the provider’s total Medicaid revenue. Individually these codes are large revenue drivers — D2930 generates $1.5M (32.1%), D7140 $494.6K (10.3%), and D1206 $486.4K (10.1%) — indicating a narrow set of services account for the majority of Medicaid receipts.

Code mix indicates a strong pediatric/preventive and basic surgical service footprint: high volumes of D1206 (21.1K claims; topical fluoride), D1120 (16.8K claims; child prophylaxis), and D1351 (13.7K claims; sealants) point to a heavy emphasis on pediatric preventive care and caries management. At the same time, D7140 (7.7K claims; extractions) shows substantial operative dental procedures are also a material part of the practice mix.

State-level competitive standing is dominant or unusually large for multiple codes: D2930 ranks #2 of 48 providers in-state (98th percentile; described as an extreme outlier, far above typical state volume for this code), D7140 ranks #2 of 95 (99th percentile; notably above typical state volume), and D1206 ranks #7 of 317 (98th percentile; notably above typical state volume). These high ranks across several top codes indicate the provider is a major Medicaid dental volume contributor in Nebraska for those services.

There are additional extreme/high outliers beyond the top-three: D9420 generates $162.6K and ranks #1 of 30 providers in-state (100th percentile; extreme outlier), and D0140 ranks #2 of 159 (99th percentile; extreme outlier). Multiple codes at very high state percentiles across diagnostic, preventive, and limited exam categories suggest broad, sustained high utilization rather than a single-code anomaly.

Long tenure: the provider’s NPI was enumerated on 2006-10-17 ("~20 years ago"), indicating this operation has been active under the current enrollment for roughly two decades. That length of enrollment is consistent with established referral relationships and program familiarity, which can help explain the provider’s persistent high Medicaid volumes.

Operational and revenue risk implications follow from payer and code concentration: with $4.8M all coming from Medicaid and 52.5% of Medicaid revenue tied to three codes, changes in Medicaid coverage, reimbursement rates, or program audits for those services could materially affect overall revenue. Business planning should account for sensitivity to state Medicaid policy and to any program-level shifts affecting high-volume codes like D2930, D7140, and D1206.

While many high-volume codes are pediatric and preventive, the provider’s mix also includes typical-volume adult and restorative codes (for example, D2392 ranks #39 of 144, 73th percentile; D1110 ranks #96 of 308, 69th percentile), indicating the operation is not exclusively pediatric but does skew toward high-volume pediatric/preventive and extraction services. This combination suggests a multi-service dental clinic with strong emphasis on population-level pediatric care and core operative procedures under Medicaid.

Medicaid: Complete Services Breakdown

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

29 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2930	N/A	12,540	$120	$1.5M
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	7,730	$60	$494.6K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	21,150	$20	$486.4K
D1120	Prophylaxis–child	16,820	$30	$420.4K
D1351	Sealant - per tooth	13,700	$30	$342.6K
D0120	Periodic oral evaluation - established patient	13,080	$20	$287.8K
D9420	N/A	2,090	$80	$162.6K
D2391	Resin‑based composite – one surface, posterior	2,330	$60	$144.5K
D0140	Limited oral evaluation – problem focused	5,190	$20	$124.5K
D0272	N/A	10,680	$10	$117.5K

Showing 1–10 of 29

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Nebraska Distribution

Unmc College Of Dentistry — 14 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Nebraska

Full comparison — all codes billed, vs. Nebraska median

29 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	2	50	540	$120	$269K
D1351	Sealant - per tooth	5	130	460	$30	$84.7K
D2392	Post 2 surface resin‑based composite	39	140	270	$80	$66.8K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	7	320	460	$20	$62.2K
D1120	Prophylaxis–child	7	290	320	$30	$61K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	2	100	180	$60	$58.2K
D0120	Periodic oral evaluation - established patient	9	400	430	$20	$44.3K
D0145	N/A	11	50	80	$40	$36.5K
D9420	N/A	1	30	190	$80	$35.9K
D2391	Resin‑based composite – one surface, posterior	9	120	150	$60	$33.1K

Showing 1–10 of 29

Related Providers

Other providers that share a Tax Identification Number (TIN) with Unmc College Of Dentistry, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Unmc College Of Dentistry	NE	Dentist	$0	$1.5M
University Of Nebraska Board Of Regents	NE	Specialist	$0	$1.4M
Unmc College Of Dentistry	NE	Dentist	$0	$974.6K
Marjorie Bisenius	NE	Family Medicine Physician	$134.7K	$0
Matthew Beacom	NE	Family Medicine Physician	$130.7K	$0
Tobias Shinaut	NE	Family Medicine Physician	$129.8K	$0
Heidi Hopper	NE	Physician Assistant	$87.8K	$0
Laura Holst	NE	Speech-Language Pathologist	$34.4K	$0
Carol Gaebler	NE	Speech-Language Pathologist	$10.6K	$0
Ashish Sharma	NE	Psychiatry Physician	$10.2K	$0

Nearby Providers

Other providers in the same ZIP code as Unmc College Of Dentistry, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Children's Hospital & Medical Center	NE	Children's Hospital	$0	$89.8M
Children's Physicians	NE	Pediatrics Physician	$0	$39.4M
Nebraska Pediatric Practice, Inc	NE	Pediatrics Physician	$0	$29M
Physicians Clinic Inc	NE	Family Medicine Physician	$0	$20.5M
Nebraska Methodist Hospital	NE	General Acute Care Hospital	$0	$14.5M
Smiles 4 Kids PC	NE	General Practice Dentistry	$0	$11.5M
Children's Hospital	NE	Pediatric Emergency Medicine (Pediatrics) Physician	$0	$8.4M
Nebraska Methodist Hospital	NE	Emergency Medicine Physician	$0	$5.3M
Stones Worth Stepping, P.C.	NE	Occupational Therapist	$0	$4.7M
Pacific Surgery Center, LLC	NE	Ambulatory Surgical Clinic/Center	$3.4M	$3.2K

Unmc College Of Dentistry — Billing Profile & Reimbursement Data

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Unmc College Of Dentistry — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References