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

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

East Hartford Orthodontics (NPI 1841568201)

Field	Value
Entity Type	Organization
Organization	East Hartford Orthodontics
Address	477 Connecticut Blvd
City	East Hartford
State	CT
ZIP	06108
Taxonomy	Orthodontics and Dentofacial Orthopedics Dentistry
NPI Enumerated	December 13, 2011

Payer Source	Total Paid
Medicaid	$1.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D8670	N/A	26,290	$50	$1.3M
D8660	N/A	1,830	$30	$58.4K
D8080	N/A	70	$510	$36.9K
D0470	N/A	120	$90	$10.6K
D8692	N/A	40	$120	$4.3K
D0330	N/A	50	$60	$3.1K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Connecticut Distribution

East Hartford Orthodontics — 1 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Connecticut

Full comparison — all codes billed, vs. Connecticut median

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D8670	N/A	6	120	3,030	$60	$347.8K
D8080	N/A	13	30	50	$570	$118.4K
D0330	N/A	252	330	250	$50	$53.6K
D8660	N/A	14	70	370	$30	$30.2K
D0470	N/A	17	40	120	$80	$23.1K
D8692	N/A	5	10	40	$170	$9.7K

Nearby Providers

Other providers in the same ZIP code as East Hartford Orthodontics, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
First Choice Health Centers, Inc.	CT	Federally Qualified Health Center (FQHC)	$0	$51.4M
Primary Prevention Home Care LLC	CT	Home Health Agency	$0	$19.5M
East Hartford Elder Care, LLC.	CT	Adult Day Care Clinic/Center	$0	$11.1M
Sovereign Home Healthcare LLC	CT	Preferred Provider Organization	$0	$3.8M
Connectident, LLC	CT	Pediatric Dentistry	$0	$3.7M
East Hartford Board Of Education	CT	Local Education Agency (LEA)	$0	$2.8M
Bio-medical Applications Of Connecticut, Inc.	CT	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.1M
Tuyen Nguyen	CT	Oral and Maxillofacial Surgery (Dentist)	$0	$1.8M
Town Of East Hartford	CT	Ambulance	$0	$1.4M
Community Matters, LLC	CT	Professional Counselor	$0	$1.2M

East Hartford Orthodontics — Billing Profile & Reimbursement Data

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East Hartford Orthodontics — 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