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

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

John C Bilder Dmd PA (NPI 1639209133)

Field	Value
Entity Type	Organization
Organization	John C Bilder Dmd PA
Address	410 South Main Street
City	Mullins
State	SC
ZIP	29574
Taxonomy	General Practice Dentistry
NPI Enumerated	March 6, 2007

Payer Source	Total Paid
Medicaid	$2.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

20 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	10,570	$80	$877.6K
D0140	Limited oral evaluation – problem focused	6,780	$40	$250.9K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	5,080	$50	$244K
D0120	Periodic oral evaluation - established patient	7,910	$20	$182K
D0220	Intraoral - periapical first radiographic image	8,540	$10	$111K
D0274	N/A	3,750	$30	$101.4K
D2392	Post 2 surface resin‑based composite	920	$90	$83.8K
D0330	N/A	1,500	$50	$73.7K
D9230	N/A	2,050	$30	$65.7K
D1120	Prophylaxis–child	1,660	$30	$56.5K

Showing 1–10 of 20

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. South Carolina Distribution

John C Bilder Dmd PA — 2 of 20 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Carolina

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

20 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2392	Post 2 surface resin‑based composite	132	350	520	$100	$175.3K
D1120	Prophylaxis–child	165	470	600	$30	$156.7K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…	108	120	170	$130	$125.1K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	5	290	380	$90	$125K
D9230	N/A	87	210	1,150	$30	$115.5K
D2391	Resin‑based composite – one surface, posterior	138	300	270	$80	$110.5K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	53	590	850	$50	$104.9K
D0120	Periodic oral evaluation - established patient	77	610	1,060	$20	$100K
D0272	N/A	271	420	590	$20	$63.3K
D2393	Resin-based composite, three surfaces, posterior	95	160	140	$120	$54.4K

Showing 1–10 of 20

Nearby Providers

Other providers in the same ZIP code as John C Bilder Dmd PA, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Medical University Hospital Authority	SC	General Acute Care Hospital	$0	$8.5M
Community Life-link,llc	SC	Durable Medical Equipment & Medical Supplies	$0	$5.5M
Medical University Hospital Authority	SC	Rural Health Clinic/Center	$0	$2M
Qhg Of South Carolina Inc	SC	General Acute Care Hospital	$0	$1.7M
Glenn Gangi	SC	Urology Physician	$858K	$100
Med-trans Corporation	SC	Air Ambulance	$599.9K	$236.6K
Harvey Putnam	SC	Physician Assistant	$402.2K	$0
Daniel Ng	SC	Cardiovascular Disease Physician	$174.8K	$0
Dwayne Livigni	SC	Anesthesiology Physician	$119.3K	$0
Amy Murrell	SC	Surgery Physician	$109.3K	$0

John C Bilder Dmd PA — Billing Profile & Reimbursement Data

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John C Bilder Dmd PA — 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