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

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

The Braces Place (NPI 1649543554)

Field	Value
Entity Type	Organization
Organization	The Braces Place
Address	335 Common St
City	Lawrence
State	MA
ZIP	01840
Taxonomy	Orthodontics and Dentofacial Orthopedics Dentistry
NPI Enumerated	February 23, 2012

Payer Source	Total Paid
Medicaid	$15.6M
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
D8670	N/A	37,360	$220	$8.1M
D8080	N/A	3,490	$1,140	$4M
D8680	N/A	11,400	$90	$1M
D7240	N/A	2,550	$300	$763.5K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	6,900	$90	$642K
D7280	N/A	520	$400	$207.9K
D4210	N/A	690	$300	$207.8K
D8660	N/A	1,460	$130	$183.8K
D8690	N/A	1,410	$110	$154.9K
D9941	N/A	1,610	$80	$125.4K

Showing 1–10 of 18

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Massachusetts Distribution

The Braces Place — 7 of 18 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Massachusetts

Full comparison — all codes billed, vs. Massachusetts median

18 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D8670	N/A	1	260	1,530	$230	$664.9K
D7240	N/A	14	70	460	$320	$432.9K
D4210	N/A	3	10	570	$300	$416.4K
D8080	N/A	1	90	170	$1,100	$416K
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…	288	370	300	$130	$138.7K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	25	440	410	$70	$115.7K
D8680	N/A	1	130	350	$90	$89.7K
D0330	N/A	409	610	240	$60	$52.7K
D7280	N/A	1	10	20	$400	$51.2K
D0140	Limited oral evaluation – problem focused	175	990	390	$30	$48.3K

Showing 1–10 of 18

Nearby Providers

Other providers in the same ZIP code as The Braces Place, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Boston Home Health Aides LLC	MA	Home Health Agency	$0	$50.4M
St Jay Associates, Inc.	MA	General Practice Dentistry	$0	$19.9M
International Health Solutions, Inc	MA	Home Health Agency	$0	$17.5M
Lifod Home Health Care LLC	MA	Home Health Agency	$0	$15.4M
A Quality Home Care Inc	MA	Home Health Agency	$0	$13.4M
Adult Day Health, Inc.	MA	Adult Day Care Clinic/Center	$0	$12.7M
Commonwealth Of Massachusetts	MA	Case Management Agency	$0	$11.6M
Maritza Morell Dmd PC	MA	Pediatric Dentistry	$0	$9.8M
Lawrence Family Dental Inc	MA	Dentist	$0	$8M
Lawrence Braces, P.C.	MA	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$7.8M

The Braces Place — Billing Profile & Reimbursement Data

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The Braces Place — 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