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

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

Carroll Dental Clinic P.l.c. (NPI 1679620520)

Field	Value
Entity Type	Organization
Organization	Carroll Dental Clinic P.l.c.
Address	703 Simon Ave
City	Carroll
State	IA
ZIP	51401
Taxonomy	Dentist
NPI Enumerated	January 4, 2007

Payer Source	Total Paid
Medicaid	$1.1M
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
D0120	Periodic oral evaluation - established patient	13,140	$20	$249.7K
D1120	Prophylaxis–child	8,250	$30	$222.9K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	14,260	$20	$214K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	5,870	$30	$199.4K
D0274	N/A	4,340	$20	$104.1K
D2150	Amalgam - two surfaces, primary or permanent	630	$60	$35.3K
D0272	N/A	1,310	$20	$24.8K
D0330	N/A	410	$40	$16.4K
D0150	Comprehensive oral evaluation – new or established patient	640	$30	$16K
D9230	N/A	880	$20	$13.2K

Showing 1–10 of 15

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Iowa Distribution

Carroll Dental Clinic P.l.c. — 4 of 15 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Iowa

Full comparison — all codes billed, vs. Iowa median

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	161	170	330	$50	$88.3K
D2392	Post 2 surface resin‑based composite	179	210	230	$60	$58.6K
D1120	Prophylaxis–child	26	580	310	$20	$43.3K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	27	630	370	$30	$36.8K
D0120	Periodic oral evaluation - established patient	20	830	530	$20	$34.1K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	20	630	500	$10	$33.3K
D9230	N/A	34	90	560	$20	$28.6K
D2150	Amalgam - two surfaces, primary or permanent	13	60	170	$60	$27.6K
D0140	Limited oral evaluation – problem focused	238	270	200	$20	$20.7K
D0150	Comprehensive oral evaluation – new or established patient	105	350	220	$20	$19.5K

Showing 1–10 of 15

Nearby Providers

Other providers in the same ZIP code as Carroll Dental Clinic P.l.c., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Carroll Co Council Prev Child Abuse	IA	Community/Behavioral Health Agency	$0	$51M
New Hope Village, Inc	IA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$50.2M
Ability United LLC	IA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$43.8M
Homecare Options, Inc.	IA	Contractor	$0	$9.1M
Caring Hearts Of West Central Iowa	IA	Community Health Worker	$0	$3.4M
Region Xii Council Of Governments, Inc.	IA	Non-emergency Medical Transport (VAN)	$0	$1.9M
St Anthony Regional Hospital And Nursing Home	IA	Critical Access Hospital	$0	$1.4M
Carroll Community School District	IA	Local Education Agency (LEA)	$0	$1.3M
Carroll County County Auditor	IA	Ambulance	$344K	$824.9K
St Anthony Regional Hospital And Nursing Home	IA	Family Medicine Physician	$0	$1.1M

Carroll Dental Clinic P.l.c. — Billing Profile & Reimbursement Data

Sign up for Carroll Dental Clinic P.l.c. — Billing Profile & Reimbursement Data policy alerts

Carroll Dental Clinic P.l.c. — Billing Profile & Reimbursement Data

Sign up for Carroll Dental Clinic P.l.c. — 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