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

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

Tdc-shiloh PC (NPI 1700239340)

Field	Value
Entity Type	Organization
Organization	Tdc-shiloh PC
Address	1002 Shiloh Crossing Blvd
City	Billings
State	MT
ZIP	59102
Taxonomy	General Practice Dentistry
NPI Enumerated	July 19, 2016

Payer Source	Total Paid
Medicaid	$534.3K
Medicare	$0

Medicaid: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	4,260	$50	$217.2K
D0120	Periodic oral evaluation - established patient	4,480	$30	$112K
D0274	N/A	1,440	$30	$49.1K
D2392	Post 2 surface resin‑based composite	230	$130	$30.4K
D0150	Comprehensive oral evaluation – new or established patient	860	$40	$30.2K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	1,020	$20	$23.4K
D1120	Prophylaxis–child	510	$40	$20.3K
D0140	Limited oral evaluation – problem focused	520	$30	$17.3K
D0220	Intraoral - periapical first radiographic image	950	$20	$15.2K
D0330	N/A	270	$50	$13.6K

Showing 1–10 of 15

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Montana Distribution

Tdc-shiloh PC — 0 of 14 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Montana

Full comparison — all codes billed, vs. Montana median

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2392	Post 2 surface resin‑based composite	72	130	310	$120	$173.4K
D1120	Prophylaxis–child	65	180	200	$30	$88.4K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	84	260	340	$20	$54.4K
D0120	Periodic oral evaluation - established patient	29	300	410	$20	$50.7K
D0272	N/A	88	90	230	$20	$50.4K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	15	270	310	$40	$44K
D0330	N/A	65	150	210	$50	$35.7K
D0274	N/A	31	210	200	$30	$23.2K
D0140	Limited oral evaluation – problem focused	75	190	330	$20	$20.7K
D0150	Comprehensive oral evaluation – new or established patient	47	190	270	$30	$20.3K

Showing 1–10 of 15

Nearby Providers

Other providers in the same ZIP code as Tdc-shiloh PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Youth Dynamics, Inc.	MT	Mental Illness Community Based Residential Treatment Facility	$0	$65.4M
New Day, Inc.	MT	Mental Illness Community Based Residential Treatment Facility	$0	$27.7M
Youth Dynamics, Inc.	MT	Professional Counselor	$0	$24.6M
Resource, Support, & Development, Inc.	MT	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$21.3M
Brittany Curl	MT	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$17.5M
Rimrock Pediatric Dentistry	MT	Pediatric Dentistry	$0	$15.2M
Bridges Of Montana	MT	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$12.7M
The Childrens Clinic Of Billings, PC	MT	Pediatrics Physician	$0	$10.9M
Community Option Resource Enterprises, Inc.	MT	Developmentally Disabled Services Day Training Agency	$0	$9.8M
Ryan K. Larsen Dmd & Associates	MT	Dental Anesthesiology	$0	$8.3M

Tdc-shiloh PC — Billing Profile & Reimbursement Data

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Tdc-shiloh PC — 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