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.

Nathan Call (NPI 1790110732)

Field	Value
Entity Type	Individual
Organization	Nathan Call
Address	1251 Northfield Rd Ste 201
City	Cedar City
State	UT
ZIP	84721
Taxonomy	Pediatric Dentistry
NPI Enumerated	September 10, 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.

22 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D0120	Periodic oral evaluation - established patient	5,410	$90	$497.4K
D2392	Post 2 surface resin‑based composite	1,920	$90	$163.5K
D2150	Amalgam - two surfaces, primary or permanent	1,590	$60	$92.2K
D1120	Prophylaxis–child	5,040	$20	$90.8K
D0272	N/A	3,470	$30	$86.8K
D0150	Comprehensive oral evaluation – new or established patient	770	$110	$82.7K
D2391	Resin‑based composite – one surface, posterior	1,060	$70	$71K
D0220	Intraoral - periapical first radiographic image	5,930	$10	$47.4K
D1351	Sealant - per tooth	1,230	$40	$45.5K
D2140	Amalgam - one surface, primary or permanent	970	$40	$38.8K

Showing 1–10 of 22

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

Nathan Call — 2 of 22 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

22 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D0120	Periodic oral evaluation - established patient	41	470	460	$80	$149.8K
D1351	Sealant - per tooth	59	190	620	$30	$60.7K
D0140	Limited oral evaluation – problem focused	64	260	140	$120	$55.8K
D2150	Amalgam - two surfaces, primary or permanent	29	220	290	$60	$45K
D2392	Post 2 surface resin‑based composite	6	170	170	$80	$39.4K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	65	150	170	$60	$35.9K
D0220	Intraoral - periapical first radiographic image	19	440	470	$20	$32.8K
D0150	Comprehensive oral evaluation – new or established patient	43	420	110	$100	$30.8K
D1120	Prophylaxis–child	42	420	440	$20	$30.7K
D2391	Resin‑based composite – one surface, posterior	11	110	170	$70	$25.2K

Showing 1–10 of 22

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tyler Albrecht	UT	Pediatric Dentistry	$0	$2.8M
Cedar View Pediatric Dentistry	UT	Pediatric Dentistry	$0	$2.5M
Sean Schexnayder	UT	Pediatric Dentistry	$0	$1.3M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ihc Health Services, Inc.	UT	General Acute Care Hospital	$0	$20.4M
Paiute Indian Tribe Of Utah	UT	Clinic/Center	$0	$16.4M
Paiute Indian Tribe Of Utah	UT	Dental Clinic/Center	$0	$1.4M
Cedar Orthopaedic Surgery Center, LLC	UT	Ambulatory Surgical Clinic/Center	$726K	$0
Ihc Health Services Inc	UT	Family Medicine Physician	$0	$525K
Brett Robbins Msn Rn Cs Fnp Inc	UT	Family Nurse Practitioner	$0	$475.1K
Ihc Health Services Inc	UT	Family Medicine Physician	$0	$431.9K
Ihc Health Services Inc	UT	Durable Medical Equipment & Medical Supplies	$0	$384.7K
Cedar Dermatology PLLC	UT	Dermatology Physician	$0	$337.8K
Todd Garrett	UT	Internal Medicine Physician	$215.5K	$0

Nathan Call — Billing Profile & Reimbursement Data

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Nathan Call — 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