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

Why is the Medicaid comparison limited to Rhode Island 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. Rhode Island (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.

William Gordon (NPI 1730152182)

Field	Value
Entity Type	Individual
Organization	William Gordon
Address	840 Tiogue Ave
City	Coventry
State	RI
ZIP	02816
Taxonomy	Orthodontics and Dentofacial Orthopedics Dentistry
NPI Enumerated	February 8, 2006

Payer Source	Total Paid
Medicaid	$1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

28 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D8670	N/A	6,740	$80	$552.4K
D8660	N/A	1,780	$180	$314K
D1515	N/A	80	$320	$25K
D9430	N/A	400	$40	$17.8K
D0330	N/A	300	$60	$17.8K
D1120	Prophylaxis–child	300	$40	$12.6K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	260	$40	$9.3K
D8680	N/A	60	$150	$8.6K
D2930	N/A	50	$140	$7.4K
D0120	Periodic oral evaluation - established patient	310	$20	$7K

Showing 1–10 of 28

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Rhode Island Distribution

William Gordon — 0 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Rhode Island

Full comparison — all codes billed, vs. Rhode Island median

28 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D8670	N/A	8	20	5,260	$80	$516.3K
D8660	N/A	5	10	1,350	$170	$278.9K
D1120	Prophylaxis–child	107	160	710	$30	$91.2K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	105	150	800	$30	$81.3K
D8680	N/A	6	10	380	$140	$68.2K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	85	100	510	$50	$65.4K
D2930	N/A	18	30	120	$130	$62.2K
D2392	Post 2 surface resin‑based composite	105	110	240	$60	$47.6K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	151	180	490	$20	$42.3K
D1351	Sealant - per tooth	81	90	670	$20	$41.4K

Showing 1–10 of 28

Related Providers

Other providers that share a Tax Identification Number (TIN) with William Gordon, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Prospect Chartercare Sjhsri, LLC	RI	General Acute Care Hospital	$0	$10.9M
Thomas Mulvey	RI	Pediatric Dentistry	$0	$6.3M
St. Joseph Health Services Of Ri	RI	General Acute Care Hospital	$0	$5.9M
Thomas Defanti	CT	Addiction Medicine (Psychiatry & Neurology) Physician	$0	$3.6M
Matthew Downey	RI	Pediatric Dentistry	$0	$2.8M
Chelsy Caren	RI	Obstetrics & Gynecology Physician	$0	$2.3M
Nicholas Paquin	RI	Dentist	$0	$2.2M
Joanne Lewis	RI	Pediatric Dentistry	$0	$2.1M
John Kiang	RI	Pediatric Dentistry	$0	$1.3M
Daniel Kane	RI	Pediatric Dentistry	$0	$1.2M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Summer Villa Inc.	RI	Assisted Living Facility	$0	$5M
Town Of Coventry	RI	Developmentally Disabled Services Day Training Agency	$0	$2.1M
Coventry Public Schools	RI	Local Education Agency (LEA)	$0	$2M
Naveed Shah	RI	Pulmonary Disease Physician	$1.4M	$0
Coventry Home Care	RI	Home Health Agency	$0	$1.2M
Andrianna Edwards	RI	General Practice Dentistry	$0	$1.1M
Craig Elice	RI	Pediatric Dentistry	$0	$864.4K
Robert Rattenni	RI	Mental Health Counselor	$0	$737.6K
Christopher Gordon	RI	Pediatric Dentistry	$0	$641.8K
Rhode Island Childrens Dentistry	RI	Dentist	$0	$415.5K

William Gordon — Billing Profile & Reimbursement Data

Sign up for William Gordon — Billing Profile & Reimbursement Data policy alerts

William Gordon — Billing Profile & Reimbursement Data

Sign up for William Gordon — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References