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

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

West Dover Dental, LLC (NPI 1811352826)

Field	Value
Entity Type	Organization
Organization	West Dover Dental, LLC
Address	2 Greentree Drive
City	Dover
State	DE
ZIP	19904
Taxonomy	Dentist
NPI Enumerated	December 17, 2015

Payer Source	Total Paid
Medicaid	$9M
Medicare	$0

Key Findings

WEST DOVER DENTAL, LLC reports no Medicare billing on file and $9M in lifetime Medicaid revenue, making its commercial/payer exposure effectively single-payer dominated by Medicaid. The absence of Medicare activity means analyses of senior care or fee-for-service Medicare episodic billing are not supported by this profile, and Medicaid reimbursement dynamics will drive financial and operational risk assessments.

Revenue concentration is high: the provider's top three Medicaid codes account for 36.7% of its total Medicaid revenue. Those top contributors are D2392 ($1.6M, 18.3%), D2930 ($872.4K, 9.8%), and D2391 ($763.3K, 8.6%), indicating a relatively concentrated revenue base around a few high-volume/restorative services.

The code mix points to a general dental practice with a strong emphasis on restorative posterior composite work and preventive pediatric services. High-revenue restorative codes such as D2392, D2391 and D2393 appear alongside very large volumes of preventive codes — D1351 (15.3K claims), D1206 (15.2K claims) and D1120 (10.4K claims) — suggesting substantial pediatric throughput and an operational focus on routine prophylaxis, sealants and topical fluoride as well as posterior restorations.

State-level competitive standing is strong for several top codes: the practice ranks #3 of 147 for D0150 (99th percentile), #5 of 90 for D2392 (96th percentile), #5 of 69 for D2391 (94th percentile), and is in the 95th percentile for D1206. These ranks and percentiles indicate the provider is a major statewide participant for key evaluation, restorative, and preventive codes rather than a marginal billing source for those services.

Operational throughput and patient volume appear high based on claim counts across preventive and diagnostic services: D1351 (15.3K claims), D1206 (15.2K claims), D1120 (10.4K claims) and D0120 (9.7K claims) together reflect sustained, repeated preventive encounters. Coupled with thousands of restorative claims (e.g., D2392 at 6.8K claims and D2391 at 4.1K claims), the profile is consistent with a high-volume community dental practice serving a large Medicaid population.

While the provider bills a broad set of dental services, restorative and basic oral surgery codes account for substantial portions of revenue beyond preventive care. Examples include D2393 ($419.9K), D7140 ($336.7K), and D9230 ($344.5K), indicating routine extractions and other ancillary procedures complement the high-volume filling and prevention work rather than more specialized, higher-complexity restorative prosthodontics.

Several codes are flagged as statistical outliers relative to state peers and are described in the source as “notably above typical state volume,” reinforcing the provider’s atypically high activity in specific service lines. Notable examples called out in the file include D2392, D2391, D0150, D1206 and D0350; these labels signal that for those particular codes the practice bills at materially higher volume than most in-state peers.

The provider’s NPI was enumerated on 2015-12-17 (~11 years ago), indicating roughly a decade of recorded activity under this identifier. Combined with the concentrated Medicaid revenue and high claim volumes in pediatric-preventive and restorative services, the tenure supports interpretation that this is an established Medicaid-focused dental operation rather than a short-term or newly entering practice.

Medicaid: Complete Services Breakdown

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

39 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2392	Post 2 surface resin‑based composite	6,790	$240	$1.6M
D2930	N/A	3,320	$260	$872.4K
D2391	Resin‑based composite – one surface, posterior	4,080	$190	$763.3K
D1351	Sealant - per tooth	15,260	$40	$641K
D1120	Prophylaxis–child	10,360	$50	$538.5K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	15,160	$30	$454.6K
D2393	Resin-based composite, three surfaces, posterior	1,400	$300	$419.9K
D0120	Periodic oral evaluation - established patient	9,650	$40	$386K
D9230	N/A	4,720	$70	$344.5K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	2,050	$160	$336.7K

Showing 1–10 of 39

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Delaware Distribution

West Dover Dental, LLC — 4 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Delaware

Full comparison — all codes billed, vs. Delaware median

39 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D9223	N/A	7	20	220	$130	$498.3K
D2930	N/A	5	30	580	$260	$446.8K
D2392	Post 2 surface resin‑based composite	5	90	490	$220	$366.3K
D2393	Resin-based composite, three surfaces, posterior	7	40	260	$270	$226.1K
D1351	Sealant - per tooth	7	70	1,690	$40	$217.1K
D2391	Resin‑based composite – one surface, posterior	5	70	320	$180	$192K
D1120	Prophylaxis–child	9	120	960	$50	$163.3K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	9	60	270	$140	$137K
D9230	N/A	5	30	900	$70	$121.1K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	7	130	1,220	$30	$116.9K

Showing 1–10 of 39

Nearby Providers

Other providers in the same ZIP code as West Dover Dental, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bayada Home Health Care, Inc.	DE	Home Health Agency	$0	$37.9M
At Home Infucare, LLC	DE	Home Health Agency	$0	$28.5M
Amazing Home Care Agency	DE	Home Health Agency	$0	$18.7M
Dedicated To Women Ob-gyn, P.A.	DE	Obstetrics & Gynecology Physician	$0	$11.1M
Help At Home Of Delaware, LLC	DE	In Home Supportive Care Agency	$0	$10.7M
A Center For Mental Wellness, Inc.	DE	Mental Health Counselor	$0	$9.9M
State Of Delaware	DE	Case Management Agency	$0	$9.2M
Americare Home Solutions	DE	In Home Supportive Care Agency	$0	$8.4M
Vicdania Health Services LLC	DE	Home Health Agency	$0	$7.4M
Reliable Aid, Inc	DE	Personal Care Attendant	$0	$6.4M

West Dover Dental, LLC — Billing Profile & Reimbursement Data

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West Dover Dental, LLC — 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

Nearby Providers

Frequently Asked Questions

References