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.

Scott A. Bialik, Dds LLC (NPI 1689011033)

Field	Value
Entity Type	Organization
Organization	Scott A. Bialik, Dds LLC
Address	246 Federal Rd
City	Brookfield
State	CT
ZIP	06804
Taxonomy	Pediatric Dentistry
NPI Enumerated	May 24, 2013

Payer Source	Total Paid
Medicaid	$1.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1120	Prophylaxis–child	10,690	$40	$459.5K
D0120	Periodic oral evaluation - established patient	10,160	$30	$335.3K
D1208	Topical application of fluoride - excluding varnish	10,710	$30	$289.2K
D0330	N/A	1,340	$80	$108.5K
D2392	Post 2 surface resin‑based composite	800	$100	$78.6K
D0274	N/A	1,660	$50	$76.4K
D0272	N/A	1,320	$30	$40.9K
D2393	Resin-based composite, three surfaces, posterior	310	$130	$39K
D2391	Resin‑based composite – one surface, posterior	310	$80	$24.6K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	170	$110	$18.4K

Showing 1–10 of 17

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

Scott A. Bialik, Dds LLC — 0 of 15 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

17 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2392	Post 2 surface resin‑based composite	165	390	620	$80	$144.8K
D1120	Prophylaxis–child	45	660	570	$40	$120.7K
D2391	Resin‑based composite – one surface, posterior	185	330	430	$60	$89.4K
D0120	Periodic oral evaluation - established patient	51	730	700	$30	$80.6K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	144	210	370	$70	$79.3K
D1351	Sealant - per tooth	173	190	580	$30	$70K
D1208	Topical application of fluoride - excluding varnish	29	560	740	$20	$66.4K
D2393	Resin-based composite, three surfaces, posterior	80	220	130	$100	$54.5K
D0330	N/A	65	330	250	$50	$53.6K
D0150	Comprehensive oral evaluation – new or established patient	315	480	380	$40	$51.4K

Showing 1–10 of 17

Nearby Providers

Other providers in the same ZIP code as Scott A. Bialik, Dds LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Urgent Care Medical Associates, LLC	CT	Urgent Care Clinic/Center	$0	$39.9M
The Child & Family Institute Of Fairfield County	CT	Mental Health Counselor	$0	$1.1M
Larry Wasser	CT	Pulmonary Disease Physician	$322.4K	$335.3K
The Brookfield Volunteer Fire Company Inc	CT	Land Ambulance	$284.8K	$364K
Antonio Paz	CT	Anesthesiology Physician	$543K	$0
Sanjay Gupta	CT	Orthopaedic Surgery Physician	$397.9K	$0
Ganesh Natarajan	CT	Pulmonary Disease Physician	$137.8K	$185.8K
Daniel Fish	CT	Orthopaedic Surgery Physician	$178.6K	$0
Valdet Nikci	CT	Orthopaedic Surgery Physician	$176.1K	$0
Irene Moreira	CT	Internal Medicine Physician	$26.6K	$136.3K

Scott A. Bialik, Dds LLC — Billing Profile & Reimbursement Data

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Scott A. Bialik, Dds 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