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

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

Blue Dental PLLC (NPI 1770954174)

Field	Value
Entity Type	Organization
Organization	Blue Dental PLLC
Address	2155 Ruben Torres Blvd
City	Brownsville
State	TX
ZIP	78526
Taxonomy	Dentist
NPI Enumerated	October 12, 2015

Payer Source	Total Paid
Medicaid	$11.1M
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
D2391	Resin‑based composite – one surface, posterior	25,390	$80	$2M
D0145	N/A	11,670	$140	$1.6M
D0230	Intraoral - periapical each additional radiographic image	122,130	$10	$1.3M
D1120	Prophylaxis–child	31,910	$40	$1.1M
D0120	Periodic oral evaluation - established patient	38,850	$30	$1.1M
D2392	Post 2 surface resin‑based composite	6,180	$100	$630K
D1208	Topical application of fluoride - excluding varnish	43,410	$10	$607.7K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	10,850	$50	$585.7K
D0220	Intraoral - periapical first radiographic image	42,580	$10	$468.4K
D9230	N/A	17,150	$30	$463K

Showing 1–10 of 22

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Texas Distribution

Blue Dental PLLC — 13 of 20 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. Texas median

22 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	368	1,000	460	$140	$261.5K
D2392	Post 2 surface resin‑based composite	177	2,600	490	$90	$164.2K
D0145	N/A	6	2,710	230	$130	$110.1K
D2391	Resin‑based composite – one surface, posterior	4	2,040	320	$70	$88.8K
D1120	Prophylaxis–child	9	4,440	470	$30	$62.9K
D0120	Periodic oral evaluation - established patient	10	5,000	500	$30	$59.9K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	16	3,730	310	$50	$48.1K
D0230	Intraoral - periapical each additional radiographic image	2	4,350	770	$10	$36K
D9230	N/A	6	1,900	320	$20	$30.5K
D0274	N/A	8	3,750	300	$30	$30.3K

Showing 1–10 of 22

Nearby Providers

Other providers in the same ZIP code as Blue Dental PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Santa Fe Primary Home Care Services Corporation	TX	Personal Care Attendant	$0	$46.2M
Aquario Primary Home Care, LLC.	TX	Personal Care Attendant	$0	$32.7M
Seasons Home Health LLC	TX	Personal Care Attendant	$0	$21.3M
Heart Of An Angel Primary Home Care Agency, LLC	TX	In Home Supportive Care Agency	$0	$18.4M
Texas Nurse Care Home Health Agency LLC	TX	Home Health Agency	$0	$12.3M
Jaime Gomez	TX	Cardiovascular Disease Physician	$581K	$0
Jumar Apolinario	TX	Physical Medicine & Rehabilitation Physician	$414.6K	$3.7K
Brownsville Surgicenter, LLC	TX	Ambulatory Surgical Clinic/Center	$212.7K	$138.3K
Surya Raguthu	TX	Physical Medicine & Rehabilitation Physician	$235.8K	$0
Preston Ukoli	TX	Nephrology Physician	$168.9K	$24.9K

Blue Dental PLLC — Billing Profile & Reimbursement Data

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Blue Dental PLLC — 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