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

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

Spencer Allen (NPI 1760649081)

Field	Value
Entity Type	Individual
Organization	Spencer Allen
Address	112 E 12450 S
City	Draper
State	UT
ZIP	84020
Taxonomy	Pediatric Dentistry
NPI Enumerated	May 22, 2008

Payer Source	Total Paid
Medicaid	$304.2K
Medicare	$0

Medicaid: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D0120	Periodic oral evaluation - established patient	2,300	$80	$181.5K
D1120	Prophylaxis–child	2,330	$10	$27.9K
D2150	Amalgam - two surfaces, primary or permanent	260	$70	$17.2K
D0150	Comprehensive oral evaluation – new or established patient	130	$110	$14.4K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	2,470	$10	$12.3K
D2140	Amalgam - one surface, primary or permanent	200	$50	$10.3K
D0272	N/A	1,250	$10	$10K
D0220	Intraoral - periapical first radiographic image	1,050	$10	$9.4K
D2392	Post 2 surface resin‑based composite	110	$80	$8.9K
D0230	Intraoral - periapical each additional radiographic image	900	$10	$5.4K

Showing 1–10 of 12

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Utah Distribution

Spencer Allen — 0 of 12 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Utah

Full comparison — all codes billed, vs. Utah median

12 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D0120	Periodic oral evaluation - established patient	109	470	460	$80	$149.8K
D1351	Sealant - per tooth	158	190	620	$30	$60.7K
D2150	Amalgam - two surfaces, primary or permanent	116	220	290	$60	$45K
D2392	Post 2 surface resin‑based composite	100	170	170	$80	$39.4K
D0220	Intraoral - periapical first radiographic image	146	440	470	$20	$32.8K
D0150	Comprehensive oral evaluation – new or established patient	191	420	110	$100	$30.8K
D1120	Prophylaxis–child	104	420	440	$20	$30.7K
D2140	Amalgam - one surface, primary or permanent	86	170	200	$50	$25.2K
D0272	N/A	103	310	550	$20	$24.7K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	104	430	460	$10	$13.8K

Showing 1–10 of 12

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Out Of This World Dentistry Wj PC	UT	Pediatric Dentistry	$0	$782.5K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Beechtree Diagnostics LLP	UT	Clinical Medical Laboratory	$1M	$34.7M
Utah Case Management	UT	Case Management Agency	$0	$13.3M
Lone Peak Hospital, Inc.	UT	General Acute Care Hospital	$0	$4.1M
After Hours Medical LLC	UT	Urgent Care Clinic/Center	$0	$3.2M
Rocky Mountain Laboratories LLC	UT	Clinical Medical Laboratory	$224.5K	$2.1M
Utnv Draper Operator, LLC	UT	Assisted Living Facility	$0	$2.2M
Beechtree Molecular Lab LLC	UT	Clinical Medical Laboratory	$236.8K	$862.7K
Draper City	UT	Ambulance	$115.3K	$978.1K
Spencer Hardenbrook	UT	Family Medicine Physician	$965.5K	$3.7K
Jeffrey Welch	UT	General Practice Dentistry	$0	$856.8K

Spencer Allen — Billing Profile & Reimbursement Data

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Spencer Allen — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References