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

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

Rawlins County Dental Clinic Fund (NPI 1740423003)

Field	Value
Entity Type	Organization
Organization	Rawlins County Dental Clinic Fund
Address	515 State St
City	Atwood
State	KS
ZIP	67730
Taxonomy	Dental Clinic/Center
NPI Enumerated	April 15, 2009

Payer Source	Total Paid
Medicaid	$625.8K
Medicare	$0

Medicaid: Complete Services Breakdown

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

22 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1120	Prophylaxis–child	3,140	$30	$97.4K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	4,710	$20	$84.7K
D0120	Periodic oral evaluation - established patient	3,480	$20	$76.5K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	840	$90	$71.4K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	1,530	$40	$64K
D1351	Sealant - per tooth	1,590	$30	$42.8K
D0140	Limited oral evaluation – problem focused	1,180	$30	$33.2K
D0274	N/A	1,030	$30	$30.8K
D2392	Post 2 surface resin‑based composite	360	$70	$26.9K
D0330	N/A	600	$40	$26.4K

Showing 1–10 of 22

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Kansas Distribution

Rawlins County Dental Clinic Fund — 0 of 21 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kansas

Full comparison — all codes billed, vs. Kansas median

22 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D9999	N/A	4	10	100	$930	$642.7K
D1351	Sealant - per tooth	103	210	1,490	$20	$189.4K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	49	320	590	$30	$120.1K
D1120	Prophylaxis–child	52	360	540	$40	$108.9K
D2392	Post 2 surface resin‑based composite	95	190	330	$80	$107.8K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	44	130	340	$80	$107.5K
D2391	Resin‑based composite – one surface, posterior	77	170	240	$70	$81K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	65	340	380	$60	$75.7K
D0120	Periodic oral evaluation - established patient	56	390	560	$20	$68.5K
D9410	N/A	4	10	730	$40	$50.3K

Showing 1–10 of 22

Rawlins County Dental Clinic Fund — Billing Profile & Reimbursement Data

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Rawlins County Dental Clinic Fund — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Frequently Asked Questions

References