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

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

Elm Family Dental Associates LLC (NPI 1679746093)

Field	Value
Entity Type	Organization
Organization	Elm Family Dental Associates LLC
Address	233 Elm St
City	West Haven
State	CT
ZIP	06516
Taxonomy	General Practice Dentistry
NPI Enumerated	April 7, 2008

Payer Source	Total Paid
Medicaid	$1.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

20 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1120	Prophylaxis–child	5,830	$40	$256.3K
D0120	Periodic oral evaluation - established patient	6,840	$30	$205.1K
D1208	Topical application of fluoride - excluding varnish	7,520	$30	$188.1K
D0274	N/A	2,940	$40	$108.6K
D2332	N/A	620	$160	$98.6K
D2392	Post 2 surface resin‑based composite	900	$100	$86K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	1,920	$30	$61.5K
D2393	Resin-based composite, three surfaces, posterior	370	$120	$44.3K
D0330	N/A	490	$80	$39.5K
D2391	Resin‑based composite – one surface, posterior	360	$80	$29.6K

Showing 1–10 of 20

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Connecticut Distribution

Elm Family Dental Associates LLC — 0 of 20 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Connecticut

Full comparison — all codes billed, vs. Connecticut median

20 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2392	Post 2 surface resin‑based composite	155	390	620	$80	$144.8K
D1120	Prophylaxis–child	74	660	570	$40	$120.7K
D2391	Resin‑based composite – one surface, posterior	171	330	430	$60	$89.4K
D9230	N/A	70	110	550	$50	$88.3K
D0120	Periodic oral evaluation - established patient	75	730	700	$30	$80.6K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	136	210	370	$70	$79.3K
D1351	Sealant - per tooth	107	190	580	$30	$70K
D1208	Topical application of fluoride - excluding varnish	57	560	740	$20	$66.4K
D2393	Resin-based composite, three surfaces, posterior	72	220	130	$100	$54.5K
D0330	N/A	127	330	250	$50	$53.6K

Showing 1–10 of 20

Nearby Providers

Other providers in the same ZIP code as Elm Family Dental Associates LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Apt Foundation Inc.	CT	Methadone Clinic	$0	$21.6M
West Haven Board Of Education	CT	Local Education Agency (LEA)	$0	$6.3M
Haven Pediatric Dentistry,llc	CT	Pediatric Dentistry	$0	$5.6M
Livwell Pain Management LLC	CT	Family Nurse Practitioner	$0	$3.9M
West Haven Pediatrics, LLC	CT	Pediatrics Physician	$0	$3.5M
Shoreline Wellness Behavioral Health Clinic, LLC	CT	Community/Behavioral Health Agency	$0	$2.8M
Shoreline Wellness Behavioral Health Outreach Inc	CT	Community/Behavioral Health Agency	$0	$2.5M
Pediatric Advanced Care Of West Haven LLC	CT	Pediatric Nurse Practitioner	$0	$2.4M
True Pediatric Dental Care LLC	CT	Pediatric Dentistry	$0	$2M
Elvin Griffith, M.d. P.C.	CT	Internal Medicine Physician	$0	$1.7M

Elm Family Dental Associates LLC — Billing Profile & Reimbursement Data

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Elm Family Dental Associates LLC — 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