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

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

Claymont Family Dentistry (NPI 1649540428)

Field	Value
Entity Type	Organization
Organization	Claymont Family Dentistry
Address	3009 Philadelphia Pike
City	Claymont
State	DE
ZIP	19703
Taxonomy	Dental Clinic/Center
NPI Enumerated	January 10, 2012

Payer Source	Total Paid
Medicaid	$968.9K
Medicare	$0

Medicaid: Complete Services Breakdown

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

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2392	Post 2 surface resin‑based composite	840	$200	$167.8K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	2,850	$60	$162.6K
D0150	Comprehensive oral evaluation – new or established patient	2,170	$50	$106.4K
D0274	N/A	1,980	$40	$87K
D0120	Periodic oral evaluation - established patient	1,960	$40	$70.5K
D0210	Intraoral - complete series of radiographic images	920	$70	$63.3K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	520	$120	$62.6K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	1,590	$30	$47.7K
D0220	Intraoral - periapical first radiographic image	2,240	$20	$47K
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…	210	$210	$44.7K

Showing 1–10 of 18

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Delaware Distribution

Claymont Family Dentistry — 0 of 17 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Delaware

Full comparison — all codes billed, vs. Delaware median

18 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2392	Post 2 surface resin‑based composite	38	90	490	$220	$366.3K
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…	12	20	240	$180	$237.1K
D2393	Resin-based composite, three surfaces, posterior	29	40	260	$270	$226.1K
D2391	Resin‑based composite – one surface, posterior	60	70	320	$180	$192K
D1120	Prophylaxis–child	69	120	960	$50	$163.3K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	23	60	270	$140	$137K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	52	130	1,220	$30	$116.9K
D0120	Periodic oral evaluation - established patient	51	160	800	$40	$110.5K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	25	160	330	$60	$82.3K
D0272	N/A	56	80	430	$40	$71.6K

Showing 1–10 of 18

Nearby Providers

Other providers in the same ZIP code as Claymont Family Dentistry, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Conexio Care, Inc.	DE	Intellectual & Developmental Disabilities Psychologist	$0	$37.9M
Conexio Care, Inc.	DE	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$12M
State Of Delaware	DE	Local Education Agency (LEA)	$0	$1.5M
Ats Of Delaware, LLC	DE	Methadone Clinic	$190.3K	$1.1M
Claymont Fire Company 1	DE	Land Ambulance	$351.7K	$421.5K
Ivyrehab Delaware LLC	DE	Physical Medicine & Rehabilitation Physician	$0	$750.7K
Bc Home Healthcare Services, Inc.	DE	Home Health Agency	$0	$441.6K
Southbridge Medical Advisory Council, Inc.	DE	Federally Qualified Health Center (FQHC)	$0	$364.4K
Patricia Manchak	DE	Physical Therapist	$315.6K	$0
Herman Ortez	DE	Professional Counselor	$0	$180.6K

Claymont Family Dentistry — Billing Profile & Reimbursement Data

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Claymont Family Dentistry — 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