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

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

Constantine Piperis Dds PA (NPI 1689319188)

Field	Value
Entity Type	Organization
Organization	Constantine Piperis Dds PA
Address	218 Pennsylvania Ave
City	Seaford
State	DE
ZIP	19973
Taxonomy	General Practice Dentistry
NPI Enumerated	April 29, 2022

Payer Source	Total Paid
Medicaid	$198.3K
Medicare	$0

Medicaid: Complete Services Breakdown

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

16 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	1,170	$50	$52.6K
D0120	Periodic oral evaluation - established patient	1,440	$30	$38.9K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	1,300	$20	$31.1K
D1351	Sealant - per tooth	630	$40	$24K
D0274	N/A	550	$40	$19.4K
D1120	Prophylaxis–child	260	$50	$11.9K
D2392	Post 2 surface resin‑based composite	40	$210	$8.9K
D2391	Resin‑based composite – one surface, posterior	40	$110	$4.1K
D0150	Comprehensive oral evaluation – new or established patient	80	$50	$3.5K
D0210	Intraoral - complete series of radiographic images	40	$40	$1.6K

Showing 1–10 of 16

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Delaware Distribution

Constantine Piperis Dds PA — 0 of 13 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Delaware

Full comparison — all codes billed, vs. Delaware median

16 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2392	Post 2 surface resin‑based composite	80	90	490	$220	$366.3K
D1351	Sealant - per tooth	42	70	1,690	$40	$217.1K
D2391	Resin‑based composite – one surface, posterior	59	70	320	$180	$192K
D1120	Prophylaxis–child	89	120	960	$50	$163.3K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	60	130	1,220	$30	$116.9K
D0120	Periodic oral evaluation - established patient	60	160	800	$40	$110.5K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	52	160	330	$60	$82.3K
D0272	N/A	74	80	430	$40	$71.6K
D0274	N/A	51	130	330	$50	$57.4K
D0150	Comprehensive oral evaluation – new or established patient	101	150	260	$60	$53.2K

Showing 1–10 of 16

Nearby Providers

Other providers in the same ZIP code as Constantine Piperis Dds PA, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tidalhealth Nanticoke, Inc	DE	General Acute Care Hospital	$0	$19.2M
Dynamic Therapy Services LLC	DE	Physical Therapist	$0	$12.8M
Addiction Medical Facility, LLC	DE	Substance Abuse Rehabilitation Facility	$98.8K	$9M
Tidalhealth Physician Network, Inc.	DE	Family Medicine Physician	$0	$8.7M
Resouces For Human Development, Inc.	DE	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$5.4M
Ambient Medical Care, LLC	DE	Urgent Care Clinic/Center	$0	$3.3M
Lynch, Rodriguez And Keller, PA	DE	Dentist	$0	$3.3M
Tidalhealth Physician Network, Inc.	DE	Family Medicine Physician	$0	$2.9M
Ivonne Herrera	DE	Rheumatology Physician	$2.7M	$0
Seaford Internal Medicine LLC	DE	Internal Medicine Physician	$0	$2.7M

Constantine Piperis Dds PA — Billing Profile & Reimbursement Data

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Constantine Piperis Dds PA — 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