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

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

Jordan River Dental (NPI 1811046170)

Field	Value
Entity Type	Organization
Organization	Jordan River Dental
Address	1 Hospital Court
City	Bellows Falls
State	VT
ZIP	05101
Taxonomy	General Practice Dentistry
NPI Enumerated	January 9, 2007

Payer Source	Total Paid
Medicaid	$185K
Medicare	$0

Medicaid: Complete Services Breakdown

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

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	1,350	$50	$63.2K
D0120	Periodic oral evaluation - established patient	1,340	$20	$30.7K
D0330	N/A	410	$60	$23.8K
D0274	N/A	770	$30	$22.3K
D0150	Comprehensive oral evaluation – new or established patient	230	$40	$8.3K
D0140	Limited oral evaluation – problem focused	190	$40	$7.3K
D2392	Post 2 surface resin‑based composite	60	$120	$7.3K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	370	$20	$6.7K
D1120	Prophylaxis–child	130	$30	$4K
D2393	Resin-based composite, three surfaces, posterior	20	$170	$3K

Showing 1–10 of 14

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Vermont Distribution

Jordan River Dental — 0 of 14 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Vermont

Full comparison — all codes billed, vs. Vermont median

14 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2392	Post 2 surface resin‑based composite	52	60	610	$130	$155.6K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	44	150	540	$50	$73.5K
D2391	Resin‑based composite – one surface, posterior	48	50	310	$90	$62.9K
D1120	Prophylaxis–child	68	110	220	$40	$59.2K
D0120	Periodic oral evaluation - established patient	52	160	720	$30	$57.8K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	67	120	500	$20	$53.5K
D0140	Limited oral evaluation – problem focused	48	70	560	$40	$53.3K
D0330	N/A	32	70	330	$60	$43.8K
D0150	Comprehensive oral evaluation – new or established patient	47	80	330	$40	$38.9K
D2393	Resin-based composite, three surfaces, posterior	24	30	110	$160	$37.1K

Showing 1–10 of 14

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Health Care & Rehabilitation Services	VT	Developmental Disabilities Clinic/Center	$0	$136.1M
Health Care & Rehabilitation Services	VT	Adolescent and Children Mental Health Clinic/Center	$0	$25.4M
Springfield Medical Care Systems Inc	VT	Federally Qualified Health Center (FQHC)	$0	$7.8M
Health Care & Rehabilitaion Services	VT	Clinic/Center	$0	$5M
Health Care And Rehabilitation Services Of Southeastern Vermont, Inc.	VT	Developmental Disabilities Clinic/Center	$0	$1M
Sandra Cotter,lcmhc, Ladc,llc	VT	Mental Health Counselor	$0	$509.4K
Health Care And Rehabilitation Services Of Southeastern Vermont, Inc.	VT	Community/Behavioral Health Agency	$0	$507K
Waypoint Counseling LLC	VT	Mental Health Counselor	$0	$368.7K
Timothy Johnson	VT	Optometrist	$51.3K	$99.5K
Health Care And Rehabilitation Services Of Southeastern Vermont, Inc.	VT	Substance Use Disorder Rehabilitation Clinic/Center	$0	$131.3K

Jordan River Dental — Billing Profile & Reimbursement Data

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Jordan River Dental — 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