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

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

Affordable Dentures-franklin, P.C. (NPI 1821520842)

Field	Value
Entity Type	Organization
Organization	Affordable Dentures-franklin, P.C.
Address	160 Holiday Pl
City	Franklin
State	IN
ZIP	46131
Taxonomy	Dentist
NPI Enumerated	March 29, 2017

Payer Source	Total Paid
Medicaid	$3M
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
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…	6,820	$160	$1.1M
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	5,110	$90	$464.7K
D5110	N/A	660	$450	$293.2K
D7310	N/A	1,580	$180	$277K
D5140	N/A	530	$480	$250.4K
D5130	N/A	460	$480	$220.4K
D5120	N/A	360	$480	$171.8K
D7471	N/A	200	$290	$55.6K
D0330	N/A	770	$50	$41.5K
D5750	N/A	150	$260	$39.2K

Showing 1–10 of 17

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Indiana Distribution

Affordable Dentures-franklin, P.C. — 4 of 17 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Indiana

Full comparison — all codes billed, vs. Indiana median

17 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…	24	350	410	$150	$251K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	45	540	460	$70	$106.9K
D5130	N/A	3	10	170	$420	$99.2K
D7310	N/A	3	30	170	$170	$96.6K
D5110	N/A	6	50	80	$410	$91.3K
D5140	N/A	1	10	110	$420	$82.6K
D7250	N/A	50	60	130	$180	$76.9K
D5120	N/A	6	40	40	$420	$75.7K
D0120	Periodic oral evaluation - established patient	1,247	1,360	800	$20	$53.2K
D7471	N/A	1	10	190	$260	$48.5K

Showing 1–10 of 17

Nearby Providers

Other providers in the same ZIP code as Affordable Dentures-franklin, P.C., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tara Treatment Center Inc	IN	Substance Abuse Rehabilitation Facility	$0	$16M
Johnson Memorial Hospital	IN	General Acute Care Hospital	$0	$9.4M
Windrose Health Network, Inc.	IN	Federally Qualified Health Center (FQHC)	$0	$4.3M
Johnson Memorial Health Physician Network, LLC	IN	Family Medicine Physician	$0	$4.1M
Daniel Salvas	IN	Urology Physician	$256.4K	$0
Michael Ray	IN	Optometrist	$184.8K	$0
George Cornett	IN	Internal Medicine Physician	$118.5K	$0
Brian Murphy	IN	Orthopaedic Surgery Physician	$101K	$0
Christine Bhinder	IN	Podiatrist	$94.1K	$0
Michael Welsh	IN	Family Medicine Physician	$89K	$0

Affordable Dentures-franklin, P.C. — Billing Profile & Reimbursement Data

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Affordable Dentures-franklin, P.C. — 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