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

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

Middletown Family Dentistry,p.a. (NPI 1700927563)

Field	Value
Entity Type	Organization
Organization	Middletown Family Dentistry,p.a.
Address	102 Sleepy Hollow Dr
City	Middletown
State	DE
ZIP	19709
Taxonomy	General Practice Dentistry
NPI Enumerated	February 12, 2007

Payer Source	Total Paid
Medicaid	$119.1K
Medicare	$0

Medicaid: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D0120	Periodic oral evaluation - established patient	1,050	$30	$35.6K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	1,160	$30	$33.7K
D1120	Prophylaxis–child	390	$40	$16.6K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	270	$60	$14.6K
D0220	Intraoral - periapical first radiographic image	360	$20	$7.5K
D0230	Intraoral - periapical each additional radiographic image	320	$20	$5.4K
D0150	Comprehensive oral evaluation – new or established patient	100	$20	$2.1K
D0274	N/A	40	$40	$1.9K
D0272	N/A	60	$30	$1.7K
D0210	Intraoral - complete series of radiographic images	10	$0	$0

Showing 1–10 of 11

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Delaware Distribution

Middletown Family Dentistry,p.a. — 0 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Delaware

Full comparison — all codes billed, vs. Delaware median

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D1120	Prophylaxis–child	77	120	960	$50	$163.3K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	66	130	1,220	$30	$116.9K
D0120	Periodic oral evaluation - established patient	72	160	800	$40	$110.5K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	93	160	330	$60	$82.3K
D0272	N/A	63	80	430	$40	$71.6K
D0274	N/A	99	130	330	$50	$57.4K
D0150	Comprehensive oral evaluation – new or established patient	94	150	260	$60	$53.2K
D0230	Intraoral - periapical each additional radiographic image	50	90	480	$20	$52.9K
D0220	Intraoral - periapical first radiographic image	63	110	410	$20	$46.6K
D0210	Intraoral - complete series of radiographic images	62	70	150	$70	$26.2K

Showing 1–10 of 11

Nearby Providers

Other providers in the same ZIP code as Middletown Family Dentistry,p.a., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Center For Interventional Pain Spine LLC	DE	Interventional Pain Medicine Physician	$0	$17.6M
Lieske E2e Home Health Care Inc	DE	Home Health Agency	$0	$9.2M
Tobola Health Care Services Inc.	DE	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$4.3M
Delaware Smile Center	DE	General Practice Dentistry	$0	$3.1M
Premier Physical Therapy And Sports Performance Limited Partnership	DE	Physical Therapist	$0	$2.3M
Thrive Real Life Independence, LLC	DE	Developmentally Disabled Services Day Training Agency	$0	$1.2M
Myeyedr Optometry Of Delaware PA	DE	Optometrist	$0	$961.5K
Scy Dental	DE	Dental Clinic/Center	$0	$776.9K
Middletown Familycare Associates LLC	DE	Family Medicine Physician	$0	$719K
Mccormick & Associates Of Middletown, LLC	DE	Psychiatric/Mental Health Clinical Nurse Specialist	$0	$590.7K

Middletown Family Dentistry,p.a. — Billing Profile & Reimbursement Data

Sign up for Middletown Family Dentistry,p.a. — Billing Profile & Reimbursement Data policy alerts

Middletown Family Dentistry,p.a. — Billing Profile & Reimbursement Data

Sign up for Middletown Family Dentistry,p.a. — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References