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.

Diamond State Dentistry (NPI 1689700775)

Field	Value
Entity Type	Organization
Organization	Diamond State Dentistry
Address	215 West Liberty Way
City	Milford
State	DE
ZIP	19963
Taxonomy	Dentist
NPI Enumerated	February 26, 2007

Payer Source	Total Paid
Medicaid	$456.5K
Medicare	$0

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D0120	Periodic oral evaluation - established patient	3,070	$40	$110.3K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	3,150	$30	$94.6K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	1,400	$60	$86.7K
D1120	Prophylaxis–child	1,420	$50	$67.9K
D0274	N/A	1,120	$40	$49.1K
D1351	Sealant - per tooth	1,090	$40	$47.9K
D0602	N/A	370	$0	$0
D0603	Antigen testing for a public health-related pathogen, including coronavirus (COVID-19), using a high throughput technique, per day	2,060	$0	$0

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

Diamond State Dentistry — 0 of 6 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

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D1351	Sealant - per tooth	38	70	1,690	$40	$217.1K
D1120	Prophylaxis–child	48	120	960	$50	$163.3K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	39	130	1,220	$30	$116.9K
D0120	Periodic oral evaluation - established patient	39	160	800	$40	$110.5K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	49	160	330	$60	$82.3K
D0274	N/A	38	130	330	$50	$57.4K
D0603	Antigen testing for a public health-related pathogen, including coronavirus (COVID-19), using a high throughput technique, per day	36	90	1,060	$1	$150
D0602	N/A	50	90	460	$1	$20

Nearby Providers

Other providers in the same ZIP code as Diamond State Dentistry, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bayhealth Medical Center, Inc.	DE	General Acute Care Hospital	$0	$39.5M
Banyan Delaware LLC	DE	Substance Abuse Rehabilitation Facility	$0	$30.9M
Bayada Home Health Care, Inc.	DE	Home Health Agency	$0	$28.5M
Epic Health Services (de), LLC	DE	Home Health Agency	$0	$19.3M
Delaware Pediatric Dentistry	DE	Pediatric Dentistry	$0	$18.1M
Kent-sussex Industries	DE	Developmentally Disabled Services Day Training Agency	$0	$11.7M
Nurses 'n Kids Of Milford, Inc.	DE	Medically Fragile Infants and Children Day Care	$0	$9.5M
Prn Staffers Inc	DE	Home Health Agency	$0	$7.6M
People's Place Ii, Inc.	DE	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$4.9M
Bayhealth Medical Center, Inc.	DE	Clinic/Center	$0	$3.7M

Diamond State Dentistry — Billing Profile & Reimbursement Data

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Diamond State Dentistry — 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