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

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

Patricia Newberry (NPI 1811952666)

Field	Value
Entity Type	Individual
Organization	Patricia Newberry
Address	3038 Nolensville Road
City	Nashville
State	TN
ZIP	37211
Taxonomy	Dentist
NPI Enumerated	April 17, 2006

Payer Source	Total Paid
Medicaid	$4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

30 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1120	Prophylaxis–child	15,690	$30	$517.8K
D0120	Periodic oral evaluation - established patient	20,310	$20	$487.5K
D1208	Topical application of fluoride - excluding varnish	19,450	$20	$388.9K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	7,270	$40	$305.3K
D1351	Sealant - per tooth	9,990	$30	$289.7K
D0210	Intraoral - complete series of radiographic images	4,370	$60	$249.2K
D1353	N/A	8,920	$30	$223K
D2392	Post 2 surface resin‑based composite	2,860	$70	$205.6K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	3,100	$60	$185.7K
D2930	N/A	1,570	$110	$169.2K

Showing 1–10 of 30

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Tennessee Distribution

Patricia Newberry — 6 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Tennessee

Full comparison — all codes billed, vs. Tennessee median

30 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	67	160	770	$110	$399.1K
D3330	N/A	14	60	90	$560	$184K
D3220	N/A	84	110	610	$80	$167.4K
D1120	Prophylaxis–child	41	660	720	$30	$135.9K
D2721	N/A	2	10	420	$300	$127.1K
D2392	Post 2 surface resin‑based composite	63	470	450	$70	$107K
D0120	Periodic oral evaluation - established patient	36	720	980	$20	$106.4K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	49	370	350	$60	$82.8K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	109	650	730	$20	$72.1K
D1208	Topical application of fluoride - excluding varnish	15	440	950	$20	$71.8K

Showing 1–10 of 30

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Omni Visions, Inc.	TN	Foster Care Agency	$0	$133.3M
D&s Residential Services, LP	TN	In Home Supportive Care Agency	$0	$77.7M
Cg Of Tennessee, LLC	TN	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$63.5M
Hca Health Services Of Tennessee, Inc.	TN	General Acute Care Hospital	$0	$27.5M
Nashville Pediatric Providers, LLC	TN	Pediatric Nurse Practitioner	$0	$20M
Omni Community Health	TN	Social Worker	$0	$18.2M
Smile Center For Children	TN	Pediatric Dentistry	$0	$9.6M
Option Care Infusion Services, LLC	TN	Home Infusion Therapy Pharmacy	$0	$8.9M
Pediatric Partners Of Nashville, PLLC	TN	Pediatrics Physician	$0	$5.7M
Lifecare Heritage	TN	Adult Day Care Clinic/Center	$0	$4.8M

Patricia Newberry — Billing Profile & Reimbursement Data

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Patricia Newberry — 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