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

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

Sph Meriden LLC (NPI 1811395494)

Field	Value
Entity Type	Organization
Organization	Sph Meriden LLC
Address	470 Lewis Ave
City	Meriden
State	CT
ZIP	06451
Taxonomy	General Practice Dentistry
NPI Enumerated	December 12, 2014

Payer Source	Total Paid
Medicaid	$1.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

24 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1120	Prophylaxis–child	4,360	$40	$187.3K
D0120	Periodic oral evaluation - established patient	6,040	$30	$157.1K
D2392	Post 2 surface resin‑based composite	1,940	$80	$151.6K
D1208	Topical application of fluoride - excluding varnish	5,400	$20	$129.6K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	2,150	$30	$68.7K
D0150	Comprehensive oral evaluation – new or established patient	1,530	$40	$67.2K
D0274	N/A	2,340	$30	$65.5K
D0140	Limited oral evaluation – problem focused	1,780	$30	$51.5K
D2393	Resin-based composite, three surfaces, posterior	430	$100	$42.1K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	490	$70	$32.1K

Showing 1–10 of 24

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Connecticut Distribution

Sph Meriden LLC — 0 of 22 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Connecticut

Full comparison — all codes billed, vs. Connecticut median

24 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	95	140	300	$80	$145.8K
D2392	Post 2 surface resin‑based composite	93	390	620	$80	$144.8K
D1120	Prophylaxis–child	95	660	570	$40	$120.7K
D2391	Resin‑based composite – one surface, posterior	165	330	430	$60	$89.4K
D0120	Periodic oral evaluation - established patient	86	730	700	$30	$80.6K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	87	210	370	$70	$79.3K
D1351	Sealant - per tooth	136	190	580	$30	$70K
D1208	Topical application of fluoride - excluding varnish	91	560	740	$20	$66.4K
D2393	Resin-based composite, three surfaces, posterior	66	220	130	$100	$54.5K
D0330	N/A	146	330	250	$50	$53.6K

Showing 1–10 of 24

Nearby Providers

Other providers in the same ZIP code as Sph Meriden LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Midstate Medical Center	CT	General Acute Care Hospital	$0	$110.8M
Hunter's Ambulance Service, Inc.	CT	Ambulance	$4.2M	$25.5M
Emergency Medicine Physicians Of New Haven County,llc	CT	Emergency Medicine Physician	$0	$8.6M
Midstate Gastroenterology Specialists PC	CT	Gastroenterology Physician	$0	$6.6M
Midstate Radiology Associates, LLC	CT	Diagnostic Radiology Physician	$0	$6.6M
Nems PLLC	CT	Emergency Medicine Physician	$0	$6.1M
B.e.k Eyecare, Inc	CT	Optometrist	$0	$3.7M
Apple Dental And Associates,llc	CT	General Practice Dentistry	$0	$2.1M
Connecticut Counseling Centers, Inc	CT	Methadone Clinic	$0	$2M
Franciscan Family Care Center, Inc.	CT	Home Health Agency	$0	$1.8M

Sph Meriden LLC — Billing Profile & Reimbursement Data

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Sph Meriden LLC — 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