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

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

My Community Dental Centers Inc (NPI 1700072543)

Field	Value
Entity Type	Organization
Organization	My Community Dental Centers Inc
Address	2940 Parkview Dr
City	Petoskey
State	MI
ZIP	49770
Taxonomy	Public Health Dentistry
NPI Enumerated	September 14, 2007

Payer Source	Total Paid
Medicaid	$152.9M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-focused operator: Total Medicaid revenue is $152.9M while there is none (no Medicare billing on file), indicating that its entire recorded federal payer activity is driven by Medicaid. The absence of Medicare billing suggests its patient mix and service model are oriented toward Medicaid populations rather than fee-for-service Medicare beneficiaries.

Revenue concentration is meaningful at the code level: the precomputed top three Medicaid codes account for 30.6% of this provider’s total Medicaid revenue, with D7140 ($17.4M, 13.5%), D1110 ($11.2M, 8.7%), and D5110 ($10.8M, 8.4%) listed as the three largest contributors. This concentration shows a heavy dependence on a small set of high-volume or high-paid procedures.

The code mix signals a comprehensive community dental practice that spans preventive, restorative, surgical, and prosthetic services. High volumes for preventive and diagnostic codes such as D1110 (273.2K claims), D0120 (253.1K claims), D0210 (127.6K claims), and D1206 (140.3K claims) coexist with high-volume extractions (D7140, 310.5K claims) and denture-related codes like D5110 (18.4K claims) and D5120 (14.1K claims), indicating the clinic delivers both routine prevention and significant restorative/rehabilitative dental care.

Clinical intensity and acuity are also apparent: procedural codes for more complex extractions and surgical removal such as D7210 (39.8K claims, $3.7M) and high-paid restorative or prosthetic codes like D5214 ($3.4M at $669 avg paid/claim) and D5110 ($590 avg paid/claim) point to capacity for escalated clinical procedures beyond basic preventive visits. Average paid/claim values such as $590 for D5110 and $669 for D5214 further emphasize the financial impact of denture and prosthetic services on overall Medicaid revenue.

This provider is a dominant statewide player across a wide set of Medicaid codes: numerous codes rank #1 in-state and are labeled "extreme outlier," including D7140 (rank #1 of 641), D1110 (rank #1 of 1937), D5110 (rank #1 of 70), D0120 (rank #1 of 2987), and many others. Even where the provider is not #1, it frequently sits at the 100th percentile (for example D2392 rank #2 of 1168 and D1120 rank #3 of 2434), illustrating unusually high volume relative to peers across many service lines.

High-volume preventive encounter metrics underline population-level outreach: D1110 (273.2K claims) and D1120 (116.9K claims), together with sealants D1351 (195.7K claims) and topical fluoride D1206 (140.3K claims), show sustained delivery of both adult and pediatric preventive services at scale. These figures are consistent with a community dental center model focused on broad access and high throughput for Medicaid enrollees.

The large counts of radiographic and evaluative codes (D0210 127.6K claims, D0220 194.6K claims, D0150 125.7K claims, D0140 87.7K claims) indicate systematic diagnostic workflows supporting high procedure volumes. Regular use of complete and periapical imaging paired with both periodic and comprehensive evaluations suggests standardized intake and treatment-planning processes that enable the provider to manage high caseloads and complex restorative pathways.

The provider has established operational longevity: NPI enumerated 2007-09-14 (~19 years ago), indicating nearly two decades of enrollment and likely sustained presence in the state Medicaid market. Combined tenure and the pattern of being an "extreme outlier" across many codes support characterization as a long-standing, high-capacity Medicaid dental provider in Michigan.

Medicaid: Complete Services Breakdown

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

91 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	310,480	$60	$17.4M
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	273,210	$40	$11.2M
D5110	N/A	18,360	$590	$10.8M
D5120	N/A	14,100	$590	$8.3M
D0210	Intraoral - complete series of radiographic images	127,590	$60	$7.1M
D2150	Amalgam - two surfaces, primary or permanent	102,200	$60	$6.5M
D0120	Periodic oral evaluation - established patient	253,110	$20	$6.1M
D1351	Sealant - per tooth	195,710	$30	$5.9M
D1120	Prophylaxis–child	116,850	$40	$4.7M
D2160	Amalgam - three surfaces, primary or permanent	60,530	$80	$4.5M

Showing 1–10 of 91

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Michigan Distribution

My Community Dental Centers Inc — 25 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Michigan

Full comparison — all codes billed, vs. Michigan median

91 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	8	200	660	$190	$434.6K
D5120	N/A	1	40	40	$580	$310.5K
D5110	N/A	1	70	50	$590	$296.7K
D7240	N/A	40	60	230	$240	$241K
D5214	N/A	1	30	30	$680	$236.6K
D2751	N/A	3	10	90	$470	$235K
D2740	N/A	2	270	140	$610	$219.4K
D5213	N/A	1	20	20	$680	$215.7K
D5212	N/A	2	10	330	$570	$189.8K
D5211	N/A	2	10	320	$580	$183.7K

Showing 1–10 of 91

Nearby Providers

Other providers in the same ZIP code as My Community Dental Centers Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
North Country Community Mental Health	MI	Community/Behavioral Health Agency	$0	$69.3M
Harbor Hall, Inc.	MI	Substance Use Disorder Rehabilitation Clinic/Center	$0	$21.3M
Mclaren Northern Michigan	MI	General Acute Care Hospital	$0	$20.5M
Little Traverse Bay Bands Of Odawa Indians	MI	Federally Qualified Health Center (FQHC)	$0	$8.8M
County Of Emmet	MI	Land Ambulance	$546.2K	$849.3K
Murray Cotter	MI	Dermatology Physician	$705.5K	$0
Anton Sharapov	MI	Surgery Physician	$635.8K	$0
Dwayne Griffin	MI	Pulmonary Disease Physician	$445.5K	$0
Jeffrey Beaudoin	MI	Surgery Physician	$352K	$0
Joshua Anderson	MI	Adult Reconstructive Orthopaedic Surgery Physician	$273.2K	$0

My Community Dental Centers Inc — Billing Profile & Reimbursement Data

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My Community Dental Centers Inc — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References