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

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

Club 32 Dental (NPI 1720698608)

Field	Value
Entity Type	Organization
Organization	Club 32 Dental
Address	624 3rd St S
City	Nampa
State	ID
ZIP	83651
Taxonomy	Dental Clinic/Center
NPI Enumerated	August 5, 2020

Payer Source	Total Paid
Medicaid	$645K
Medicare	$0

Medicaid: Complete Services Breakdown

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D0210	Intraoral - complete series of radiographic images	1,520	$120	$181.4K
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…	1,070	$150	$163.3K
D2392	Post 2 surface resin‑based composite	1,250	$70	$88.5K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	1,980	$30	$67.3K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	1,420	$20	$34K
D2393	Resin-based composite, three surfaces, posterior	230	$150	$33.2K
D0330	N/A	2,080	$10	$22.9K
D0140	Limited oral evaluation – problem focused	1,240	$20	$22.2K
D2391	Resin‑based composite – one surface, posterior	720	$30	$18.7K
D0150	Comprehensive oral evaluation – new or established patient	2,230	$1	$8.9K

Showing 1–10 of 17

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Idaho Distribution

Club 32 Dental — 0 of 12 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Idaho

Full comparison — all codes billed, vs. Idaho median

17 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	12	40	220	$120	$173.7K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	46	320	310	$80	$80.8K
D2392	Post 2 surface resin‑based composite	57	190	280	$60	$72.9K
D0210	Intraoral - complete series of radiographic images	15	120	140	$120	$66K
D2393	Resin-based composite, three surfaces, posterior	28	70	140	$120	$41.6K
D0330	N/A	21	170	170	$50	$35.6K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	27	110	300	$30	$32.4K
D2391	Resin‑based composite – one surface, posterior	38	140	270	$40	$27.9K
D0150	Comprehensive oral evaluation – new or established patient	18	220	220	$30	$21.2K
D4341	Periodontal scaling and root planing - four or more teeth per quadrant	19	20	150	$50	$16.1K

Showing 1–10 of 17

Nearby Providers

Other providers in the same ZIP code as Club 32 Dental, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
1 - & - 1 - Aaa Home Care, Incorporated	ID	In Home Supportive Care Agency	$0	$12.1M
Community Partnerships Of Idaho, Inc.	ID	Developmental Disabilities Clinic/Center	$0	$7.4M
Advocates For Inclusion	ID	Developmentally Disabled Services Day Training Agency	$0	$5.8M
Centerpointe, Inc.	ID	Developmentally Disabled Services Day Training Agency	$0	$2M
Centerpointe, Inc.	ID	Community/Behavioral Health Agency	$0	$2M
Idaho Therapy Source	ID	Occupational Therapist	$0	$1.9M
Idaho Dept Of Health & Welfare Itp Region 3	ID	Early Intervention Provider Agency	$0	$1.6M
Eyecare Associates Of Nampa PA	ID	Optometrist	$0	$1.3M
Waypoint Developmental Center LLC	ID	Developmentally Disabled Services Day Training Agency	$0	$1.2M
Stellar Mental Health & Mediation, LLC	ID	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$1M

Club 32 Dental — Billing Profile & Reimbursement Data

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Club 32 Dental — 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