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

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

Tremont Road Dental, PC (NPI 1790872380)

Field	Value
Entity Type	Organization
Organization	Tremont Road Dental, PC
Address	14346 Warwick Blvd.
City	Newport News
State	VA
ZIP	23608
Taxonomy	General Practice Dentistry
NPI Enumerated	October 6, 2006

Payer Source	Total Paid
Medicaid	$85M
Medicare	$0

Key Findings

This provider is effectively a single‑payer Medicaid operation: Medicare revenue is none (no Medicare billing on file) while lifetime Medicaid revenue is $85M. The lack of any Medicare billing on file indicates the practice’s patient mix and reimbursement exposure are almost entirely tied to Medicaid policy and fee schedules rather than Medicare trends.

Revenue concentration is notable at the code level: the precomputed top three Medicaid codes — D8670, D2392, and D2391 — account for 27.0% of the provider’s total Medicaid revenue. Those three codes individually are listed as $9.3M (D8670, 11.8%), $6.3M (D2392, 8.0%), and $5.6M (D2391, 7.2%), showing reliance on a small set of high‑volume restorative or specialty codes.

The code mix points to a high‑volume general dentistry practice with a strong emphasis on restorative care and pediatric preventive services. High claim volumes for restorative composites (D2392 89.4K claims, D2391 93.8K claims) combined with large preventive counts (D1120 202.2K claims; D1206 191.7K claims; D1351 119.3K claims) suggest a clinic model that delivers mass preventive treatment for children alongside extensive posterior composite restorations.

Competitive standing in the state is dominant for many codes: the provider ranks #1 and is described as an "extreme outlier" (100th percentile) for a long list of codes including D8670 (#1 of 171), D2392 (#1 of 691), D2391 (#1 of 556), D1120 (#1 of 841) and numerous diagnostic and prophylaxis codes. That repeated #1 ranking across diagnostics, preventive, and restorative codes indicates this entity is a major statewide player in Medicaid dental delivery rather than a modest participant.

The operation combines very large volumes with some higher‑unit‑value procedures: examples include D3330 with $575 avg paid/claim generating $2.5M and D8080 with $910 avg paid/claim generating $2.4M (D8080 ranks #2 of 55, 98th percentile). This mix implies the practice handles both routine mass care and a meaningful share of more complex, higher‑paid treatments within the Medicaid program.

Several diagnostic and routine visit codes show exceptionally high claim counts, underlining a broad patient throughput: D0120 196.9K claims, D0210 51.7K claims, D0220 155.2K claims, and D0150 115.4K claims are all reported and many rank at the 100th percentile in‑state. Those volumes are consistent with a high‑capacity clinic infrastructure (multiple operatories or multiple locations) focused on high throughput.

Many individual procedure lines are labeled as "extreme outlier" relative to state peers, which confirms the provider’s volumes are far above typical in‑state patterns rather than merely above average. Examples of these extreme outlier claims include restorative, extraction, prophylaxis, sealants, and radiographic codes, indicating the outlier status spans preventive, restorative, surgical, and diagnostic service lines.

The provider’s NPI tenure is long‑standing (NPI enumerated 2006-10-06 (~20 years ago)), and combined with $85M in lifetime Medicaid revenue this suggests an established, large‑scale Medicaid dental provider. Given the concentration of revenue in a few high‑volume codes (top 3 = 27.0%) and the statewide dominance across many codes, payers and analysts should treat this entity as a major Medicaid dental services provider whose reimbursement and operational changes could materially affect regional dental access metrics.

Medicaid: Complete Services Breakdown

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

56 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D8670	N/A	27,130	$340	$9.3M
D2392	Post 2 surface resin‑based composite	89,360	$70	$6.3M
D2391	Resin‑based composite – one surface, posterior	93,840	$60	$5.6M
D1120	Prophylaxis–child	202,160	$30	$5.5M
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…	50,170	$100	$5M
D2930	N/A	45,090	$110	$5M
D7240	N/A	18,390	$210	$3.9M
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	100,780	$40	$3.6M
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	191,730	$20	$3.3M
D0120	Periodic oral evaluation - established patient	196,910	$20	$3.2M

Showing 1–10 of 56

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Virginia Distribution

Tremont Road Dental, PC — 25 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. Virginia median

56 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2934	N/A	1	10	1,590	$150	$434.8K
D8670	N/A	1	170	370	$340	$415.5K
D8080	N/A	2	60	140	$950	$333.8K
D7240	N/A	1	70	380	$200	$326.5K
D2930	N/A	1	150	330	$120	$226.8K
D3330	N/A	1	70	70	$480	$157.3K
D5110	N/A	17	40	110	$460	$107.4K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…	1	250	220	$90	$97.1K
D2392	Post 2 surface resin‑based composite	1	690	280	$70	$88.1K
D8660	N/A	1	110	110	$170	$86.1K

Showing 1–10 of 56

Related Providers

Other providers that share a Tax Identification Number (TIN) with Tremont Road Dental, PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dr. David M. Vieth 2, P.C.	MD	General Practice Dentistry	$0	$77.8M
Hattiesburg Road Dental, P.C.	MS	General Practice Dentistry	$0	$8.5M

Nearby Providers

Other providers in the same ZIP code as Tremont Road Dental, PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Reese Family Services	VA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$32.1M
Megan Dotson	VA	Occupational Therapist	$107.4K	$0
Jennifer Keith	VA	Family Nurse Practitioner	$49.1K	$0

Tremont Road Dental, PC — Billing Profile & Reimbursement Data

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Tremont Road Dental, PC — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References