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

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

Maine Dental Health Out-reach, Inc (NPI 1669607644)

Field	Value
Entity Type	Organization
Organization	Maine Dental Health Out-reach, Inc
Address	45 Greenwood Ter
City	Winthrop
State	ME
ZIP	04364
Taxonomy	Dental Hygienist
NPI Enumerated	May 20, 2009

Payer Source	Total Paid
Medicaid	$380.7K
Medicare	$0

Medicaid: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1354	N/A	4,180	$30	$104.4K
D1351	Sealant - per tooth	4,550	$20	$68.3K
D2940	N/A	830	$60	$50K
D1355	N/A	2,300	$20	$46K
D1120	Prophylaxis–child	780	$30	$25.8K
D1208	Topical application of fluoride - excluding varnish	1,460	$10	$20.5K
D0150	Comprehensive oral evaluation – new or established patient	210	$60	$11.7K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	250	$50	$11.2K
D1330	N/A	830	$10	$10K
D0274	N/A	340	$20	$8.2K

Showing 1–10 of 15

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Maine Distribution

Maine Dental Health Out-reach, Inc — 0 of 15 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maine

Full comparison — all codes billed, vs. Maine median

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D1351	Sealant - per tooth	20	80	1,040	$20	$87.6K
D1120	Prophylaxis–child	67	160	500	$30	$56.2K
D2940	N/A	8	20	400	$50	$50.1K
D1354	N/A	7	50	620	$20	$43.9K
D0150	Comprehensive oral evaluation – new or established patient	55	100	310	$50	$39.3K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	85	160	300	$40	$34.6K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	89	190	470	$10	$31.8K
D1355	N/A	3	10	1,420	$20	$29K
D0190	N/A	30	50	480	$20	$22.8K
D1310	N/A	19	30	550	$20	$20K

Showing 1–10 of 15

Nearby Providers

Other providers in the same ZIP code as Maine Dental Health Out-reach, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Adam Healthcare Services	ME	Home Health Agency	$0	$1.8M
Town Of Winthrop	ME	Land Ambulance	$157.3K	$906.4K

Maine Dental Health Out-reach, Inc — Billing Profile & Reimbursement Data

Sign up for Maine Dental Health Out-reach, Inc — Billing Profile & Reimbursement Data policy alerts

Maine Dental Health Out-reach, Inc — Billing Profile & Reimbursement Data

Sign up for Maine Dental Health Out-reach, Inc — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References