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.

John Blankenship (NPI 1760828834)

Field	Value
Entity Type	Individual
Organization	John Blankenship
Address	2230 N University Pkwy
City	Provo
State	UT
ZIP	84604
Taxonomy	Pediatric Dentistry
NPI Enumerated	May 16, 2013

Payer Source	Total Paid
Medicaid	$1.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D0120	Periodic oral evaluation - established patient	7,440	$100	$743.7K
D1351	Sealant - per tooth	5,940	$20	$142.5K
D2150	Amalgam - two surfaces, primary or permanent	2,080	$60	$114.1K
D0150	Comprehensive oral evaluation – new or established patient	740	$120	$86.7K
D2930	N/A	1,100	$80	$82.6K
D1120	Prophylaxis–child	7,610	$10	$45.7K
D0272	N/A	5,530	$10	$38.7K
D2140	Amalgam - one surface, primary or permanent	740	$50	$33.3K
D2392	Post 2 surface resin‑based composite	230	$90	$21.1K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	560	$40	$20.8K

Showing 1–10 of 19

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

John Blankenship — 0 of 19 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

19 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D0120	Periodic oral evaluation - established patient	26	470	460	$80	$149.8K
D1351	Sealant - per tooth	20	190	620	$30	$60.7K
D2930	N/A	14	70	280	$70	$57.7K
D0140	Limited oral evaluation – problem focused	87	260	140	$120	$55.8K
D2150	Amalgam - two surfaces, primary or permanent	22	220	290	$60	$45K
D2392	Post 2 surface resin‑based composite	73	170	170	$80	$39.4K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	33	150	170	$60	$35.9K
D0220	Intraoral - periapical first radiographic image	144	440	470	$20	$32.8K
D0150	Comprehensive oral evaluation – new or established patient	47	420	110	$100	$30.8K
D1120	Prophylaxis–child	24	420	440	$20	$30.7K

Showing 1–10 of 19

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Smith And Macdonald Pediatric Dentistry	UT	Pediatric Dentistry	$0	$2.3M
Scott Bower	UT	Pediatric Dentistry	$0	$1M
Chad Gollaher	UT	Pediatric Dentistry	$0	$759.4K
David Macdonald	UT	Pediatric Dentistry	$0	$729.9K
Nathan Smith	ND	Pediatric Dentistry	$0	$712.5K
Matthew Hillstead	UT	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$366.1K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ihc Health Services, Inc.	UT	General Acute Care Hospital	$0	$44.3M
Revere Health PC	UT	Multi-Specialty Clinic/Center	$0	$24M
Utah Valley Pediatrics L.L.C.	UT	Pediatrics Physician	$0	$11.9M
Riverwoods Surgery Center, LLC	UT	Ambulatory Surgical Clinic/Center	$737.9K	$5M
Utah Valley Emergency Physicians Inc	UT	Emergency Medicine Physician	$0	$4.7M
Ryan Isom	UT	Retina Specialist (Ophthalmology) Physician	$3.7M	$0
Jack Stringham	UT	Retina Specialist (Ophthalmology) Physician	$3.4M	$0
Ihc Health Services Inc	UT	Durable Medical Equipment & Medical Supplies	$0	$3.3M
Richard Corey	UT	Retina Specialist (Ophthalmology) Physician	$3M	$50.1K
Provo City Board Of Education	UT	Local Education Agency (LEA)	$0	$3M

John Blankenship — Billing Profile & Reimbursement Data

Sign up for John Blankenship — Billing Profile & Reimbursement Data policy alerts

John Blankenship — Billing Profile & Reimbursement Data

Sign up for John Blankenship — 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