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

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

Gus J Pappas Theodore J Pappas (NPI 1750497699)

Field	Value
Entity Type	Organization
Organization	Gus J Pappas Theodore J Pappas
Address	1 Riverview St
City	Enfield
State	CT
ZIP	06082
Taxonomy	General Practice Dentistry
NPI Enumerated	August 22, 2006

Payer Source	Total Paid
Medicaid	$1.2M
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
D2393	Resin-based composite, three surfaces, posterior	2,450	$110	$268.9K
D1120	Prophylaxis–child	4,440	$40	$190.8K
D0120	Periodic oral evaluation - established patient	4,800	$30	$139.1K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	5,460	$20	$131K
D2392	Post 2 surface resin‑based composite	1,240	$90	$111.7K
D0274	N/A	2,870	$40	$100.5K
D0330	N/A	1,430	$50	$77K
D2394	N/A	460	$110	$52.6K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	1,380	$30	$41.5K
D0150	Comprehensive oral evaluation – new or established patient	660	$50	$35.5K

Showing 1–10 of 17

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Connecticut Distribution

Gus J Pappas Theodore J Pappas — 0 of 16 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Connecticut

Full comparison — all codes billed, vs. Connecticut median

17 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2392	Post 2 surface resin‑based composite	133	390	620	$80	$144.8K
D1120	Prophylaxis–child	93	660	570	$40	$120.7K
D2391	Resin‑based composite – one surface, posterior	216	330	430	$60	$89.4K
D0120	Periodic oral evaluation - established patient	117	730	700	$30	$80.6K
D1208	Topical application of fluoride - excluding varnish	511	560	740	$20	$66.4K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	37	300	300	$20	$61.6K
D2393	Resin-based composite, three surfaces, posterior	13	220	130	$100	$54.5K
D0330	N/A	58	330	250	$50	$53.6K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	172	470	730	$30	$51.5K
D0150	Comprehensive oral evaluation – new or established patient	179	480	380	$40	$51.4K

Showing 1–10 of 17

Nearby Providers

Other providers in the same ZIP code as Gus J Pappas Theodore J Pappas, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Autism Sparkles LLC	CT	Behavior Analyst	$0	$8.5M
Town Of Enfield Board Of Education	CT	Ambulance	$644.9K	$3.3M
Enfield Public Schools	CT	Local Education Agency (LEA)	$0	$3.7M
Hemant Panchal	CT	Pediatric Adolescent Medicine Physician	$0	$3.3M
New England Urgent Care Enfield LLC	CT	Urgent Care Clinic/Center	$0	$2.6M
Nanas 247 Home Care & Companion Agency LLC	CT	Home Health Agency	$0	$2.4M
Anne Marie Villa, M.d., P.C.	CT	Pediatrics Physician	$0	$1.8M
I Smile Dental Studio, P.C.	CT	Dental Clinic/Center	$0	$1.7M
Enfield Plaza Family Dental	CT	General Practice Dentistry	$0	$1.5M
Hemant K. Panchal, Md, PC.	CT	Pediatrics Physician	$0	$1.3M

Gus J Pappas Theodore J Pappas — Billing Profile & Reimbursement Data

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Gus J Pappas Theodore J Pappas — 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