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

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

Matthew Ticola Dmd LLC (NPI 1699202960)

Field	Value
Entity Type	Organization
Organization	Matthew Ticola Dmd LLC
Address	11521 Us Highway 431 Ste V
City	Guntersville
State	AL
ZIP	35976
Taxonomy	Pediatric Dentistry
NPI Enumerated	May 17, 2017

Payer Source	Total Paid
Medicaid	$1.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

22 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2930	N/A	3,950	$80	$315.8K
D1120	Prophylaxis–child	4,460	$30	$142.8K
D1208	Topical application of fluoride - excluding varnish	7,230	$20	$108.5K
D0230	Intraoral - periapical each additional radiographic image	11,080	$10	$99.7K
D0120	Periodic oral evaluation - established patient	3,990	$20	$83.8K
D0220	Intraoral - periapical first radiographic image	5,800	$10	$63.8K
D2335	N/A	500	$90	$45.7K
D9230	N/A	1,990	$20	$43.7K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	930	$50	$42.7K
D0272	N/A	2,480	$20	$39.7K

Showing 1–10 of 22

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Alabama Distribution

Matthew Ticola Dmd LLC — 1 of 21 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. Alabama median

22 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	23	120	1,240	$90	$233.9K
D2392	Post 2 surface resin‑based composite	150	280	520	$70	$144.9K
D9420	N/A	7	20	230	$170	$110.9K
D1120	Prophylaxis–child	110	520	810	$30	$104.3K
D2391	Resin‑based composite – one surface, posterior	110	250	380	$60	$91.8K
D1999	N/A	170	300	1,280	$20	$81.5K
D0120	Periodic oral evaluation - established patient	149	620	810	$20	$77.2K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	75	190	490	$50	$76.2K
D3220	N/A	22	60	350	$70	$70.1K
D1351	Sealant - per tooth	120	180	710	$20	$63.3K

Showing 1–10 of 22

Nearby Providers

Other providers in the same ZIP code as Matthew Ticola Dmd LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Marshall County Pediatrics, PC	AL	Specialist	$0	$5.4M
Premier Family Care, LLC	AL	Rural Health Clinic/Center	$0	$3.5M
Hh Health System - Marshall LLC	AL	Land Ambulance	$967.5K	$952.4K
Marshall Medical Center North	AL	Emergency Medicine Physician	$0	$1.9M
Vivian Nell Hannon	AL	Rural Health Clinic/Center	$0	$1.5M
North Marshall Pediatrics, P.C.	AL	Pediatrics Physician	$0	$928.4K
Marshall County Health Dept Fp Clinic	AL	Public Health or Welfare Agency	$0	$845.2K
Joshua Wharton	AL	Dermatology Physician	$467.3K	$0
David Campbell	AL	Family Medicine Physician	$357.7K	$0
Matthew Smith	AL	Sports Medicine (Orthopaedic Surgery) Physician	$336.3K	$0

Matthew Ticola Dmd LLC — Billing Profile & Reimbursement Data

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Matthew Ticola Dmd 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