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

Why is the Medicaid comparison limited to North 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. North 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.

Bridging The Dental Gap Inc (NPI 1649338377)

Field	Value
Entity Type	Organization
Organization	Bridging The Dental Gap Inc
Address	1223 S 12th St
City	Bismarck
State	ND
ZIP	58504
Taxonomy	Dental Clinic/Center
NPI Enumerated	December 5, 2006

Payer Source	Total Paid
Medicaid	$6.8M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-only biller in the available data: there is no Medicare billing on file and all recorded program revenue is Medicaid ($6.8M). That concentration means payer analysis and revenue risk are dominated entirely by state Medicaid policy and participation rather than Medicare dynamics.

Revenue is highly concentrated in a single clinic-visit code: the top 3 Medicaid codes by revenue account for 100.0% of this provider's total Medicaid revenue, and T1015 alone accounts for $6.8M (99.9% of the provider's Medicaid revenue). Such extreme concentration implies a revenue base that depends overwhelmingly on bundled clinic-visit reimbursement rather than dispersed fee-for-service procedures.

The code mix and descriptions indicate a clinic-centric operating model consistent with the provider taxonomy (Dental Clinic/Center): T1015 (Clinic visit/encounter, all-inclusive) dominating revenue suggests the organization bills bundled clinic encounters as its primary service line rather than deriving most income from individual restorative procedure payments. This pattern is consistent with a clinic that provides broad access visits or school/community-based dental encounters where a single all-inclusive clinic code captures most paid activity.

State-level competitive standing is strong for the primary revenue driver: T1015 ranks #1 of 10 providers in-state (100th percentile; notably above typical state volume for this code), marking this provider as a leading in-state reporter of that clinic-visit code. By contrast, other codes that generate paid dollars (for example, D2392 and D0330) rank modestly within their peer sets (#8 of 35 and #7 of 41, respectively) and do not materially affect overall revenue standing.

There are large volumes of billed service activity that do not translate into paid Medicaid revenue: several commonly used dental procedure codes show high claim counts with $0 avg paid/claim and $0 recorded revenue (for example, D0140 with 4.8K claims and D1110 with 2.9K claims). This discrepancy suggests either bundling of payments into the T1015 encounter code or that many procedure claims were not reimbursed separately, so observed clinical activity may be underrepresented by paid-dollar measures alone.

Small-dollar ancillary procedure payments exist but are immaterial to total revenue: D2392 appears with 856 claims and $3 avg paid/claim for $2.6K revenue, while D0330 has 848 claims and $1 avg paid/claim for $848 revenue; both are recorded as 0.0% of total Medicaid revenue. These entries show that, despite non-trivial claim volumes, paid amounts for discrete procedures are negligible compared with the all-inclusive clinic revenue.

The provider has a long-established enrollment history—NPI enumerated 2006-12-05 (~20 years ago)—indicating sustained presence in the market. Combined with the concentrated Medicaid revenue profile, this tenure suggests an established clinic operation with long-running Medicaid relationships, but financial exposure remains closely tied to the single dominant clinic-visit reimbursement stream.

Medicaid: Complete Services Breakdown

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

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	22,020	$310	$6.8M
D2392	Post 2 surface resin‑based composite	860	$1	$2.6K
D0330	N/A	850	$1	$850
D0210	Intraoral - complete series of radiographic images	390	$1	$390
D0120	Periodic oral evaluation - established patient	920	$0	$0
D0140	Limited oral evaluation – problem focused	4,820	$0	$0
D0150	Comprehensive oral evaluation – new or established patient	1,530	$0	$0
D0220	Intraoral - periapical first radiographic image	1,690	$0	$0
D0270	N/A	10	$0	$0
D0274	N/A	1,020	$0	$0

Showing 1–10 of 18

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. North Dakota Distribution

Bridging The Dental Gap Inc — 1 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Dakota

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

18 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	1	10	130	$250	$860.9K
D2392	Post 2 surface resin‑based composite	8	40	130	$110	$83.4K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	11	20	300	$90	$76.2K
D2391	Resin‑based composite – one surface, posterior	11	30	100	$90	$63.3K
D0120	Periodic oral evaluation - established patient	34	120	350	$40	$46.8K
D0140	Limited oral evaluation – problem focused	2	40	100	$70	$44K
D0150	Comprehensive oral evaluation – new or established patient	8	60	250	$50	$27K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	6	80	160	$40	$24.1K
D2393	Resin-based composite, three surfaces, posterior	4	10	180	$130	$24K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	60	110	230	$20	$23.6K

Showing 1–10 of 18

Nearby Providers

Other providers in the same ZIP code as Bridging The Dental Gap Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pride Inc.	ND	Developmentally Disabled Services Day Training Agency	$0	$71.1M
Sanford Bismarck	ND	Multi-Specialty Clinic/Center	$0	$43.9M
Support Systems, Inc.	ND	Community/Behavioral Health Agency	$0	$37.7M
Pride Inc	ND	Community/Behavioral Health Agency	$0	$6.6M
Pride Inc.	ND	Community/Behavioral Health Agency	$0	$5.7M
Pride Inc	ND	Community/Behavioral Health Agency	$0	$4.9M
Dakota Surgery & Laser Center LLC	ND	Ambulatory Surgical Clinic/Center	$1.7M	$28.4K
The Kid's Therapy Center LLC	ND	Community/Behavioral Health Agency	$0	$1.5M
City Of Bismarck	ND	State or Local Public Health Clinic/Center	$111.3K	$1.3M
Dakota Eye Institute PC	ND	Ophthalmology Physician	$0	$1.2M

Bridging The Dental Gap Inc — Billing Profile & Reimbursement Data

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Bridging The Dental Gap Inc — 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

Nearby Providers

Frequently Asked Questions

References