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

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

Gainesville Dental Center (NPI 1841319449)

Field	Value
Entity Type	Organization
Organization	Gainesville Dental Center
Address	1586 Park Hill Dr
City	Gainesville
State	GA
ZIP	30501
Taxonomy	Dentist
NPI Enumerated	March 28, 2007

Payer Source	Total Paid
Medicaid	$755.7K
Medicare	$0

Medicaid: Complete Services Breakdown

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

21 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…	1,230	$110	$131.7K
D0330	N/A	1,960	$50	$102.1K
D2392	Post 2 surface resin‑based composite	780	$100	$79K
D0140	Limited oral evaluation – problem focused	2,160	$30	$62.8K
D0230	Intraoral - periapical each additional radiographic image	1,730	$30	$58.7K
D0274	N/A	1,680	$30	$50.4K
D2391	Resin‑based composite – one surface, posterior	500	$90	$42.1K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	1,390	$30	$41.5K
D0150	Comprehensive oral evaluation – new or established patient	1,190	$30	$40.6K
D1120	Prophylaxis–child	1,260	$30	$40.3K

Showing 1–10 of 21

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Georgia Distribution

Gainesville Dental Center — 0 of 21 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Georgia

Full comparison — all codes billed, vs. Georgia median

21 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	39	40	300	$170	$529.9K
D2392	Post 2 surface resin‑based composite	22	80	270	$90	$262.3K
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	20	220	$120	$236.9K
D2391	Resin‑based composite – one surface, posterior	20	60	190	$80	$186.8K
D1351	Sealant - per tooth	55	70	580	$30	$176.7K
D1120	Prophylaxis–child	53	140	620	$30	$173.7K
D2393	Resin-based composite, three surfaces, posterior	27	30	60	$120	$123.5K
D0120	Periodic oral evaluation - established patient	42	150	640	$20	$117.8K
D1208	Topical application of fluoride - excluding varnish	40	90	560	$20	$110.3K
D0274	N/A	23	110	340	$30	$96.8K

Showing 1–10 of 21

Nearby Providers

Other providers in the same ZIP code as Gainesville Dental Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northeast Georgia Medical Center, Inc.	GA	General Acute Care Hospital	$0	$112.9M
Georgia Emergency Department Services, P.C.	GA	Emergency Medicine Physician	$0	$17.9M
S.y.a.h.	GA	Urgent Care Clinic/Center	$0	$6.5M
Pediatric Associates LLP	GA	Pediatrics Physician	$0	$5M
William Chafin	GA	Rheumatology Physician	$3.3M	$0
Marta Bognar	GA	Rheumatology Physician	$2.3M	$0
Brent Flickinger	GA	Rheumatology Physician	$2.3M	$0
Gainesville Radiology Group, PC	GA	Diagnostic Radiology Physician	$0	$2M
Hall County Georgia	GA	Land Ambulance	$1.6M	$0
Northeast Georgia Physicians Group Urgent Care LLC	GA	Family Medicine Physician	$0	$1.6M

Gainesville Dental Center — Billing Profile & Reimbursement Data

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Gainesville Dental Center — 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