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

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

C V Alegria Dds Inc (NPI 1659412930)

Field	Value
Entity Type	Organization
Organization	C V Alegria Dds Inc
Address	505 Harmon Loop Road
City	Dededo
State	GU
ZIP	96929
Taxonomy	General Practice Dentistry
NPI Enumerated	February 9, 2007

Payer Source	Total Paid
Medicaid	$11.3M
Medicare	$0

Key Findings

C V ALEGRIA DDS INC is effectively a single-payer Medicaid practice: there is no Medicare billing on file while lifetime Medicaid revenue is $11.3M, indicating the provider’s operations and patient mix are focused on Medicaid-covered populations rather than Medicare beneficiaries. This payer concentration implies the practice’s financial and operational performance will be driven predominantly by Medicaid policy, rates, and patient eligibility in Guam.

Revenue concentration within Medicaid is high: the precomputed top 3 Medicaid codes account for 46.9% of the provider’s total Medicaid revenue. Those top codes (D2930, D3220, D7140) together represent nearly half of all Medicaid revenue, which signals revenue vulnerability to changes in reimbursement or utilization for just a few procedures.

The practice’s procedural mix indicates a high-volume general dentistry and pediatric preventive/service-line focus. High counts and revenues for D2930, D3220, D7140, and D1120 — plus large volumes for D1351 (sealants) and D0120/D0150 (periodic and comprehensive exams) — point to a clinic that performs many restoration, extraction, and preventive visits, consistent with General Practice Dentistry serving a primarily younger or Medicaid-enrolled population.

C V ALEGRIA shows dominant statewide standing for many common dental codes: the provider ranks #1 of multiple in-state peers (100th percentile) on D2930, D3220, D7140, D1120, D0150, D1351, D2140, D0120, D0210, D1203, D1110, D0274, D0272 and D2330. These repeated top-state rankings and “notably above typical state volume” labels indicate the practice is a major Medicaid provider in Guam for core preventive and restorative services.

For certain restorative codes the provider’s volumes are typical rather than exceptional: codes such as D2150 (rank #2, 86th percentile), D4220 (rank #3, 71st percentile), D2160 (rank #2, 83rd percentile), D9230 (rank #2, 83rd percentile), and several others are described as typical or unremarkable in-state volumes. This suggests that while the provider is dominant for several high-volume pediatric and exam codes, its share on some higher-complexity or specialty procedures is competitive but not outsized.

The top revenue-driving code D2930 produced $2.6M (23.2% of Medicaid revenue) with 16.8K claims at $155 avg paid/claim and ranks #1 of 7 providers in-state; similarly, D3220 produced $1.4M (12.7%) with 14.6K claims and D7140 produced $1.2M (11.0%) with 8.6K claims. These specific figures underscore that a relatively small set of high-volume dental procedures are the primary financial engines of the practice and that the provider leads the state in delivering these services.

The provider’s high procedure counts for preventive codes (D1120 – 14.8K claims, D1351 – 18.8K claims) and radiographic series (D0210 – 3.4K claims, D0220 – 9.7K claims) together with frequent comprehensive/periodic evaluations (D0150, D0120) indicate an operational emphasis on routine exam, diagnostic imaging, and preventive care workflows, which has implications for staffing, scheduling, and supply needs.

Tenure-wise, the NPI was enumerated on 2007-02-09 (approximately 19 years ago), indicating long-standing presence in the market. This extended tenure combined with repeated #1 statewide rankings on many codes suggests institutional scale and established referral or patient flow patterns within Guam’s Medicaid network.

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	16,800	$160	$2.6M
D3220	N/A	14,580	$100	$1.4M
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	8,650	$140	$1.2M
D1120	Prophylaxis–child	14,840	$60	$875.5K
D2150	Amalgam - two surfaces, primary or permanent	8,700	$80	$704.3K
D0150	Comprehensive oral evaluation – new or established patient	9,220	$80	$691.2K
D1351	Sealant - per tooth	18,830	$30	$546K
D2140	Amalgam - one surface, primary or permanent	6,180	$70	$401.5K
D0120	Periodic oral evaluation - established patient	9,450	$40	$396.9K
D4220	N/A	1,900	$170	$313.7K

Showing 1–10 of 29

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Guam Distribution

C V Alegria Dds Inc — 15 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Guam

Full comparison — all codes billed, vs. Guam median

29 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D4220	N/A	3	10	940	$200	$845.2K
D2930	N/A	1	10	570	$180	$587.4K
D3220	N/A	1	10	560	$110	$406.3K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	1	10	490	$160	$322.3K
D2150	Amalgam - two surfaces, primary or permanent	2	10	1,360	$100	$315.6K
D1120	Prophylaxis–child	1	10	2,140	$60	$195.3K
D0150	Comprehensive oral evaluation – new or established patient	1	10	1,460	$70	$192.7K
D2160	Amalgam - three surfaces, primary or permanent	2	10	530	$110	$139.3K
D3120	N/A	4	10	850	$40	$136.9K
D2140	Amalgam - one surface, primary or permanent	1	10	510	$80	$134.2K

Showing 1–10 of 29

Nearby Providers

Other providers in the same ZIP code as C V Alegria Dds Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Guam Healthcare Development Incorporated	GU	Clinic/Center	$0	$30.8M
Albert Huang	GU	Dentist	$0	$5.4M
Usrc Finegayan, LLC	GU	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$4.5M
Renal Centers Of Guam, LLC	GU	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$4.1M
Government Of Guam Department Of Administration	GU	Federally Qualified Health Center (FQHC)	$0	$2.4M
Maria Chela Mariano	GU	Family Medicine Physician	$0	$1.8M
Scott Shay	GU	Vascular & Interventional Radiology Physician	$1.2M	$0
Anthony Bekkerman	GU	Emergency Medicine Physician	$49.5K	$623.9K
Blue Ocean Medical Group LLC	GU	Family Medicine Physician	$0	$665.1K
Yolanda Carrera	GU	Pediatrics Physician	$0	$334.5K

C V Alegria Dds Inc — Billing Profile & Reimbursement Data

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C V Alegria Dds 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