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.

Wahl Family Dentistry (NPI 1821159898)

Field	Value
Entity Type	Organization
Organization	Wahl Family Dentistry
Address	1601 Concord Pike
City	Wilmington
State	DE
ZIP	19803
Taxonomy	Endodontics
NPI Enumerated	December 13, 2006

Payer Source	Total Paid
Medicaid	$1.6M
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
D1351	Sealant - per tooth	9,870	$40	$434.2K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	3,990	$70	$263.2K
D0120	Periodic oral evaluation - established patient	5,690	$40	$221.8K
D1120	Prophylaxis–child	3,180	$50	$165.4K
D0274	N/A	3,060	$50	$153.1K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	3,840	$30	$119.2K
D1208	Topical application of fluoride - excluding varnish	2,420	$30	$72.7K
D0150	Comprehensive oral evaluation – new or established patient	1,350	$50	$70.3K
D2391	Resin‑based composite – one surface, posterior	190	$160	$29.6K
D0210	Intraoral - complete series of radiographic images	430	$70	$29.5K

Showing 1–10 of 17

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

Wahl Family Dentistry — 0 of 14 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

17 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2392	Post 2 surface resin‑based composite	73	90	490	$220	$366.3K
D1351	Sealant - per tooth	12	70	1,690	$40	$217.1K
D2391	Resin‑based composite – one surface, posterior	40	70	320	$180	$192K
D1120	Prophylaxis–child	29	120	960	$50	$163.3K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	34	130	1,220	$30	$116.9K
D0120	Periodic oral evaluation - established patient	26	160	800	$40	$110.5K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	18	160	330	$60	$82.3K
D0272	N/A	45	80	430	$40	$71.6K
D0274	N/A	15	130	330	$50	$57.4K
D0150	Comprehensive oral evaluation – new or established patient	27	150	260	$60	$53.2K

Showing 1–10 of 17

Nearby Providers

Other providers in the same ZIP code as Wahl Family Dentistry, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Nemours Foundation	DE	Multi-Specialty Clinic/Center	$0	$172M
The Nemours Foundation	DE	Children's Hospital	$0	$104M
Jevs Human Services	DE	Adult Development & Aging Psychologist	$0	$84.4M
Christiana Care Home Health And Community Services, Inc.	DE	Home Health Agency	$0	$44.1M
Children's Dental Health Of Delaware - Wilmington, PA	DE	Pediatric Dentistry	$0	$8M
Medexpress, Inc - Delaware	DE	Family Medicine Physician	$0	$7.9M
Radnon Home Care LLC	DE	In Home Supportive Care Agency	$0	$6.5M
Delaware Cardiovascular Associates, P.A.	DE	Cardiovascular Disease Physician	$0	$5.4M
Concord Dental, LLC	DE	Dental Clinic/Center	$0	$4.2M
Christiana Care Health Services Inc	DE	Student Health Clinic/Center	$0	$3.9M

Wahl Family Dentistry — Billing Profile & Reimbursement Data

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Wahl Family Dentistry — 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