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

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

Country Club Dental PA (NPI 1699137109)

Field	Value
Entity Type	Organization
Organization	Country Club Dental PA
Address	400 Sw 29th St
City	Topeka
State	KS
ZIP	66611
Taxonomy	General Practice Dentistry
NPI Enumerated	March 23, 2016

Payer Source	Total Paid
Medicaid	$11.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

39 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1351	Sealant - per tooth	101,350	$30	$2.5M
D2930	N/A	13,990	$110	$1.5M
D1120	Prophylaxis–child	31,910	$30	$1M
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	49,400	$20	$889.1K
D0120	Periodic oral evaluation - established patient	34,440	$20	$792.1K
D0272	N/A	27,130	$20	$542.5K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	11,760	$40	$517.3K
D2391	Resin‑based composite – one surface, posterior	6,460	$70	$458.5K
D0230	Intraoral - periapical each additional radiographic image	45,090	$10	$360.7K
D0150	Comprehensive oral evaluation – new or established patient	11,290	$30	$338.6K

Showing 1–10 of 39

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Kansas Distribution

Country Club Dental PA — 15 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kansas

Full comparison — all codes billed, vs. Kansas median

39 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	5	60	1,370	$120	$359.9K
D1351	Sealant - per tooth	4	210	1,490	$20	$189.4K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	5	320	590	$30	$120.1K
D1120	Prophylaxis–child	6	360	540	$40	$108.9K
D2392	Post 2 surface resin‑based composite	15	190	330	$80	$107.8K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	14	130	340	$80	$107.5K
D3220	N/A	4	30	540	$60	$96.1K
D2391	Resin‑based composite – one surface, posterior	7	170	240	$70	$81K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	7	340	380	$60	$75.7K
D0120	Periodic oral evaluation - established patient	6	390	560	$20	$68.5K

Showing 1–10 of 39

Nearby Providers

Other providers in the same ZIP code as Country Club Dental PA, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sheltered Living Inc.	KS	Adult Care Home Facility	$0	$42.6M
Tarc, Inc.	KS	Developmentally Disabled Services Day Training Agency	$0	$40.5M
Topeka Public Schools Usd 501	KS	Student Health Clinic/Center	$0	$5.2M
Adventure Vision Of Topeka LLC	KS	Optometrist	$0	$4.5M
Tarc, Inc.	KS	Early Intervention Provider Agency	$0	$2.3M
Tarc, Inc.	KS	Case Management Agency	$0	$2M
Larry C. Hargreaves, Dds	KS	Dental Clinic/Center	$0	$1.1M
Life Bridge, LLC	KS	Home Health Agency	$0	$708.1K
Topeka Treatment Center, LLC	KS	Methadone Clinic	$0	$651K
Teresa Francis	KS	Social Worker	$0	$595.3K

Country Club Dental PA — Billing Profile & Reimbursement Data

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Country Club Dental 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