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

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

Great Expressions Dental Centers Of Massachusetts PC (NPI 1710023502)

Field	Value
Entity Type	Organization
Organization	Great Expressions Dental Centers Of Massachusetts PC
Address	300 E Long Lake Rd
City	Bloomfield Hills
State	HI
ZIP	48304
Taxonomy	Dentist
NPI Enumerated	January 29, 2007

Payer Source	Total Paid
Medicaid	$6.1M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-only biller: there is no Medicare billing on file while total Medicaid revenue on record is $6.1M. The absence of Medicare activity combined with material Medicaid receipts indicates its commercial footprint in fee-for-service Medicare is negligible and that operational focus or payer mix is driven almost entirely by Medicaid patients.

Revenue is highly concentrated in a few procedure lines: the precomputed top three Medicaid codes account for 41.3% of the provider's Medicaid revenue. The single largest contributor is D2740 (1.9K claims, $665 avg paid/claim, $1.3M revenue; 21.9% of Medicaid revenue), followed by D1110 (13K claims, $51 avg paid/claim, $665.3K revenue; 11.3%) and D2751 (915 claims, $519 avg paid/claim, $474.9K revenue; 8.1%).

The code mix points to a general dentistry, high-throughput practice with heavy preventive and diagnostic imaging activity: D1110 (Prophylaxis - adult) alone is 13K claims, and radiographic codes D0210 (5.2K claims, $355.6K revenue), D0220 (13.2K claims, $197.6K revenue) and D0230 (11K claims, $132.5K revenue) together represent a large share of visits. High volumes of prophylaxis and intraoral radiographs alongside restorative codes suggest routine preventive care plus same-visit diagnostics are core service lines.

State-level competitive standing is strong on several routine-care codes. The provider ranks #1 of 117 for D1110 at the 100th percentile and is labeled an "extreme outlier," ranks #1 of 43 for D0210 at the 100th percentile (also an "extreme outlier"), and ranks #2 of 88 for D0150 at the 99th percentile, indicating it is a dominant statewide provider for prophylaxis, comprehensive exams and complete-mouth radiographic series.

Benchmarking is constrained for a few high-revenue restorative codes because no meaningful peer volume comparison is available: D2740 and D2751 both rank #1 of 1 providers in-state and are annotated "0th percentile; no state peer volume comparison available." These single-provider rankings produce high revenue shares but limit conclusions about relative market share for those specific services.

Beyond preventive and diagnostic services, the provider delivers substantial restorative and surgical care: D2392 (3.1K claims, $76 avg paid/claim, $233.3K revenue), D2950 (1K claims, $152 avg paid/claim, $157.3K revenue), D7140 (1.6K claims, $70 avg paid/claim, $115.3K revenue) and D7210 (700 claims, $136 avg paid/claim, $95.2K revenue) show meaningful volume and revenue from restorations and extractions. This mix indicates the practice performs both routine restorative dentistry and a nontrivial number of operative procedures.

Several low-unit-value codes have very high claim counts, which implies a high-volume throughput model focused on frequent, lower-paid encounters. Examples include D0220 at 13.2K claims ($15 avg paid/claim) and D0120 at 11K claims ($22 avg paid/claim), consistent with a clinic workflow optimized for many short diagnostic/preventive visits rather than primarily high-dollar specialty procedures.

The provider has long tenure on file, enumerated 2007-01-29 (~19 years ago), supporting that this is an established operation. Coupled with the Medicaid-dominant revenue profile and multiple 99–100th percentile code rankings, the data portray a longstanding, Medicaid-focused dental provider with outsized statewide volume for core preventive and diagnostic services.

Medicaid: Complete Services Breakdown

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

44 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2740	N/A	1,940	$670	$1.3M
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	13,050	$50	$665.3K
D2751	N/A	920	$520	$474.9K
D9243	N/A	4,930	$80	$399.7K
D0210	Intraoral - complete series of radiographic images	5,230	$70	$355.6K
D0274	N/A	8,480	$30	$288.4K
D0120	Periodic oral evaluation - established patient	11,010	$20	$242.2K
D2392	Post 2 surface resin‑based composite	3,070	$80	$233.3K
D0150	Comprehensive oral evaluation – new or established patient	5,530	$40	$210.1K
D0220	Intraoral - periapical first radiographic image	13,180	$20	$197.6K

Showing 1–10 of 44

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Hawaii Distribution

Great Expressions Dental Centers Of Massachusetts PC — 8 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Hawaii

Full comparison — all codes billed, vs. Hawaii median

44 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2740	N/A	1	10	1,940	$660	$1.3M
D2751	N/A	1	10	920	$520	$475.2K
D7240	N/A	6	10	310	$280	$348.8K
D2161	N/A	3	10	2,120	$80	$179.1K
D9243	N/A	1	10	520	$80	$161.1K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…	7	30	310	$150	$157.6K
D4342	N/A	1	10	1,990	$80	$157.1K
D0140	Limited oral evaluation – problem focused	11	120	400	$140	$150.2K
D7230	N/A	7	10	400	$230	$122.4K
D9230	N/A	35	40	980	$60	$115K

Showing 1–10 of 44

Nearby Providers

Other providers in the same ZIP code as Great Expressions Dental Centers Of Massachusetts PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Comprehensive Services For The Developmentally Disabled, Inc.	MI	Developmentally Disabled Services Day Training Agency	$0	$37.9M
Dental Health Group, PA	MI	Dentist	$0	$36.4M
Progressive Residential Services, Inc.	MI	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$33.6M
Great Expressions Dental Centers P C	MI	Dentist	$0	$32.5M
Great Expressions Dental Centers Of New York LLP	MI	Dentist	$0	$29.7M
Great Expressions Dental Centers Of New Jersey PC	MI	Dentist	$0	$7.7M
Team Rehabilitation Services, LLC	MI	Physical Therapist	$0	$7.7M
Stacy Loree	MI	Cardiovascular Disease Physician	$682.8K	$0
Michele Degregorio	MI	Cardiovascular Disease Physician	$436.4K	$0
Kiritkumar Patel	MI	Cardiovascular Disease Physician	$368K	$0

Great Expressions Dental Centers Of Massachusetts PC — Billing Profile & Reimbursement Data

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Great Expressions Dental Centers Of Massachusetts PC — 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