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

Why is the Medicaid comparison limited to New Hampshire 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. New Hampshire (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.

Spence Dental, P.A. (NPI 1841493137)

Field	Value
Entity Type	Organization
Organization	Spence Dental, P.A.
Address	92 South St
City	Claremont
State	NH
ZIP	03743
Taxonomy	General Practice Dentistry
NPI Enumerated	June 6, 2007

Payer Source	Total Paid
Medicaid	$442.6K
Medicare	$0

Medicaid: Complete Services Breakdown

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

22 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2930	N/A	390	$180	$69.6K
D1120	Prophylaxis–child	2,060	$30	$67.9K
D1354	N/A	2,500	$20	$40K
D1208	Topical application of fluoride - excluding varnish	2,350	$20	$40K
D0150	Comprehensive oral evaluation – new or established patient	720	$50	$32.2K
D0120	Periodic oral evaluation - established patient	1,220	$30	$30.4K
D1351	Sealant - per tooth	1,230	$20	$28.3K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	260	$100	$24.2K
D0274	N/A	740	$30	$21.5K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	390	$50	$17.7K

Showing 1–10 of 22

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. New Hampshire Distribution

Spence Dental, P.A. — 0 of 21 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Hampshire

Full comparison — all codes billed, vs. New Hampshire median

22 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	9	10	590	$210	$535.2K
D2940	N/A	7	10	80	$50	$185.4K
D1354	N/A	6	20	550	$20	$175.1K
D2392	Post 2 surface resin‑based composite	48	60	330	$110	$167.9K
D2391	Resin‑based composite – one surface, posterior	28	50	150	$100	$103.9K
D9230	N/A	29	40	710	$40	$96.9K
D1351	Sealant - per tooth	25	70	580	$30	$90.5K
D1120	Prophylaxis–child	38	160	250	$40	$89.7K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	28	50	260	$100	$89K
D0120	Periodic oral evaluation - established patient	52	190	240	$30	$73.2K

Showing 1–10 of 22

Nearby Providers

Other providers in the same ZIP code as Spence Dental, P.A., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Developmental Services Of Sullivan County, Inc.	NH	Child Intellectual and/or Developmental Disabilities Respite Care	$0	$139.4M
Valley Regional Hospital Inc.	NH	Critical Access Hospital	$0	$10M
Colin B Boswell Dds PC	NH	Pediatric Dentistry	$0	$5.2M
Golden Cross Ambulance Inc	NH	Ambulance	$1.2M	$3.5M
Claremont School District	NH	Local Education Agency (LEA)	$0	$3M
Daniel Peraza	NH	Dermatology Physician	$1.1M	$0
Sullivan County Oral Health Collaborative	NH	Dental Clinic/Center	$0	$892.1K
Valley Regional Hospital, Inc.	NH	Urgent Care Clinic/Center	$0	$875.8K
Jose E Peraza Md PLLC	NH	Dermatology Physician	$0	$870.9K
Valley Regional Hospital, Inc	NH	Family Medicine Physician	$0	$782K

Spence Dental, P.A. — Billing Profile & Reimbursement Data

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Spence Dental, P.A. — Billing Profile & Reimbursement Data

Sign up for Spence Dental, P.A. — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References