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

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

Shaftsbury Dental Center PC (NPI 1730484213)

Field	Value
Entity Type	Organization
Organization	Shaftsbury Dental Center PC
Address	677 Route 7a
City	Shaftsbury
State	VT
ZIP	05262
Taxonomy	Dentist
NPI Enumerated	January 14, 2011

Payer Source	Total Paid
Medicaid	$335.7K
Medicare	$0

Medicaid: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2392	Post 2 surface resin‑based composite	790	$120	$91.1K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	1,480	$40	$62.2K
D2391	Resin‑based composite – one surface, posterior	580	$80	$46.1K
D0120	Periodic oral evaluation - established patient	1,660	$20	$36.4K
D1208	Topical application of fluoride - excluding varnish	1,470	$20	$25K
D0274	N/A	920	$30	$24.9K
D1120	Prophylaxis–child	660	$30	$21.2K
D0140	Limited oral evaluation – problem focused	370	$30	$12.1K
D2393	Resin-based composite, three surfaces, posterior	40	$160	$6K
D0220	Intraoral - periapical first radiographic image	270	$20	$4.3K

Showing 1–10 of 13

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Vermont Distribution

Shaftsbury Dental Center PC — 0 of 13 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Vermont

Full comparison — all codes billed, vs. Vermont median

13 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2392	Post 2 surface resin‑based composite	24	60	610	$130	$155.6K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	41	150	540	$50	$73.5K
D2391	Resin‑based composite – one surface, posterior	21	50	310	$90	$62.9K
D1120	Prophylaxis–child	38	110	220	$40	$59.2K
D0120	Periodic oral evaluation - established patient	40	160	720	$30	$57.8K
D0140	Limited oral evaluation – problem focused	41	70	560	$40	$53.3K
D0330	N/A	48	70	330	$60	$43.8K
D0150	Comprehensive oral evaluation – new or established patient	59	80	330	$40	$38.9K
D2393	Resin-based composite, three surfaces, posterior	18	30	110	$160	$37.1K
D0274	N/A	29	100	250	$30	$31.1K

Showing 1–10 of 13

Nearby Providers

Other providers in the same ZIP code as Shaftsbury Dental Center PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Shaftsbury Medical Associates, Inc.	VT	Family Medicine Physician	$0	$392.7K
Christopher Ludwig	VT	Physical Therapist	$43.7K	$0
Jamie Rogers	VT	Primary Care Nurse Practitioner	$28K	$0

Shaftsbury Dental Center PC — Billing Profile & Reimbursement Data

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Shaftsbury Dental Center 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