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

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

Colton Douglas (NPI 1700106341)

Field	Value
Entity Type	Individual
Organization	Colton Douglas
Address	41 W 700 S
City	Ephraim
State	UT
ZIP	84627
Taxonomy	General Practice Dentistry
NPI Enumerated	June 5, 2010

Payer Source	Total Paid
Medicaid	$610.4K
Medicare	$0

Medicaid: Complete Services Breakdown

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

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D0120	Periodic oral evaluation - established patient	2,740	$90	$243.9K
D0150	Comprehensive oral evaluation – new or established patient	690	$140	$94K
D0140	Limited oral evaluation – problem focused	890	$70	$63K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	630	$60	$35.1K
D1120	Prophylaxis–child	2,600	$10	$33.8K
D2150	Amalgam - two surfaces, primary or permanent	420	$70	$30.2K
D0272	N/A	1,350	$20	$23K
D2140	Amalgam - one surface, primary or permanent	420	$50	$19.7K
D0274	N/A	1,680	$10	$18.5K
D1351	Sealant - per tooth	610	$30	$17.5K

Showing 1–10 of 14

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Utah Distribution

Colton Douglas — 0 of 14 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Utah

Full comparison — all codes billed, vs. Utah median

14 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D0120	Periodic oral evaluation - established patient	89	470	460	$80	$149.8K
D1351	Sealant - per tooth	98	190	620	$30	$60.7K
D0140	Limited oral evaluation – problem focused	38	260	140	$120	$55.8K
D2150	Amalgam - two surfaces, primary or permanent	96	220	290	$60	$45K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	29	150	170	$60	$35.9K
D0220	Intraoral - periapical first radiographic image	187	440	470	$20	$32.8K
D0150	Comprehensive oral evaluation – new or established patient	56	420	110	$100	$30.8K
D1120	Prophylaxis–child	90	420	440	$20	$30.7K
D2140	Amalgam - one surface, primary or permanent	52	170	200	$50	$25.2K
D0272	N/A	98	310	550	$20	$24.7K

Showing 1–10 of 14

Nearby Providers

Other providers in the same ZIP code as Colton Douglas, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Central Utah Counseling Center	UT	Counselor	$0	$19.7M
Young Women's Empowerment Center	UT	Mental Illness Community Based Residential Treatment Facility	$0	$1.2M
Eye Center Of Ephraim, LLC	UT	Optometrist	$0	$321.9K
Darin Cummings	UT	Optometrist	$80.2K	$0

Colton Douglas — Billing Profile & Reimbursement Data

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Colton Douglas — 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