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.

David Macdonald (NPI 1790943629)

Field	Value
Entity Type	Individual
Organization	David Macdonald
Address	148 S 1100 E
City	American Fork
State	UT
ZIP	84003
Taxonomy	Pediatric Dentistry
NPI Enumerated	May 28, 2008

Payer Source	Total Paid
Medicaid	$729.9K
Medicare	$0

Medicaid: Complete Services Breakdown

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D0120	Periodic oral evaluation - established patient	4,480	$80	$371.7K
D1120	Prophylaxis–child	4,640	$10	$60.3K
D0150	Comprehensive oral evaluation – new or established patient	460	$120	$55.8K
D2150	Amalgam - two surfaces, primary or permanent	870	$60	$48.9K
D0272	N/A	3,340	$10	$43.4K
D1351	Sealant - per tooth	1,030	$40	$42K
D2392	Post 2 surface resin‑based composite	340	$90	$32K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	4,920	$10	$29.5K
D0274	N/A	990	$20	$15.8K
D0330	N/A	450	$30	$12.7K

Showing 1–10 of 17

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

David Macdonald — 0 of 17 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

17 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D0120	Periodic oral evaluation - established patient	57	470	460	$80	$149.8K
D1351	Sealant - per tooth	71	190	620	$30	$60.7K
D0140	Limited oral evaluation – problem focused	212	260	140	$120	$55.8K
D2150	Amalgam - two surfaces, primary or permanent	58	220	290	$60	$45K
D2392	Post 2 surface resin‑based composite	56	170	170	$80	$39.4K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	145	150	170	$60	$35.9K
D0220	Intraoral - periapical first radiographic image	179	440	470	$20	$32.8K
D0150	Comprehensive oral evaluation – new or established patient	84	420	110	$100	$30.8K
D1120	Prophylaxis–child	54	420	440	$20	$30.7K
D2140	Amalgam - one surface, primary or permanent	112	170	200	$50	$25.2K

Showing 1–10 of 17

Related Providers

Other providers that share a Tax Identification Number (TIN) with David Macdonald, 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
John Blankenship	UT	Pediatric Dentistry	$0	$1.4M
Scott Bower	UT	Pediatric Dentistry	$0	$1M
Chad Gollaher	UT	Pediatric Dentistry	$0	$759.4K
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 David Macdonald, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ihc Health Services, Inc.	UT	General Acute Care Hospital	$0	$17.2M
Alpine School District	UT	Local Education Agency (LEA)	$0	$8.4M
Star Kids	UT	Home Health Agency	$0	$5M
American Fork City Corporation	UT	Land Ambulance	$188.3K	$2.8M
Alliance Youth Services	UT	Foster Care Agency	$0	$2.5M
North Valley Emergency Physicians Lc	UT	Emergency Medical Services (Emergency Medicine) Physician	$0	$1.5M
Michael Whiting	UT	Pediatric Adolescent Medicine Physician	$0	$827.1K
Don Boren	UT	General Practice Dentistry	$0	$679.4K
Joshua Bateman	UT	Dentist	$0	$540.1K
Scott D. Christensen Dpt. PLLC	UT	Physical Therapy Clinic/Center	$0	$481.7K

David Macdonald — Billing Profile & Reimbursement Data

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David Macdonald — 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