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.

Dentistry Vcu (NPI 1790877504)

Field	Value
Entity Type	Organization
Organization	Dentistry Vcu
Address	520 N 12th St
City	Richmond
State	VA
ZIP	23298
Taxonomy	Dentist
NPI Enumerated	September 29, 2006

Payer Source	Total Paid
Medicaid	$12.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

54 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D3330	N/A	3,080	$510	$1.6M
D2930	N/A	11,010	$120	$1.3M
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	27,150	$50	$1.2M
D8670	N/A	3,610	$340	$1.2M
D1120	Prophylaxis–child	23,740	$30	$664.8K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	30,580	$20	$519.9K
D7240	N/A	2,840	$180	$518.8K
D8080	N/A	440	$840	$373.4K
D0140	Limited oral evaluation – problem focused	20,230	$20	$364.1K
D0120	Periodic oral evaluation - established patient	22,110	$20	$353.7K

Showing 1–10 of 54

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

Dentistry Vcu — 17 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

54 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D8670	N/A	14	170	370	$340	$415.5K
D8080	N/A	11	60	140	$950	$333.8K
D7240	N/A	12	70	380	$200	$326.5K
D2930	N/A	4	150	330	$120	$226.8K
D9223	N/A	31	90	920	$60	$165.5K
D3330	N/A	2	70	70	$480	$157.3K
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…	13	250	220	$90	$97.1K
D2392	Post 2 surface resin‑based composite	46	690	280	$70	$88.1K
D8660	N/A	29	110	110	$170	$86.1K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	2	420	370	$50	$84.1K

Showing 1–10 of 54

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sarah Glass	VA	Oral and Maxillofacial Pathology Dentistry	$44K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Virginia Commonwealth University Health System Authority	VA	General Acute Care Hospital	$0	$658.3M
Mcv Associated Physicians	VA	Anesthesiology Physician	$0	$99M
Rekha Kishore	VA	Diagnostic Radiology Physician	$1.1M	$0
Matthew Herczyk	VA	Diagnostic Radiology Physician	$750.5K	$47.4K
Paul Fang	VA	Diagnostic Radiology Physician	$688K	$0
Tahir Khan	VA	Internal Medicine Physician	$480.4K	$8.9K
William Denney	VA	Internal Medicine Physician	$396.1K	$0
Laurie Cuttino	VA	Radiation Oncology Physician	$350.4K	$0
Michelle Garnett	VA	Diagnostic Radiology Physician	$305.4K	$0
Alex Munoz	VA	Diagnostic Radiology Physician	$265.2K	$0

Dentistry Vcu — Billing Profile & Reimbursement Data

Sign up for Dentistry Vcu — Billing Profile & Reimbursement Data policy alerts

Dentistry Vcu — Billing Profile & Reimbursement Data

Sign up for Dentistry Vcu — 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