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

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

Al Dental Professionals PC (NPI 1851838833)

Field	Value
Entity Type	Organization
Organization	Al Dental Professionals PC
Address	1518 N Brindlee Mountain Pkwy
City	Arab
State	AL
ZIP	35016
Taxonomy	Dentist
NPI Enumerated	January 27, 2017

Payer Source	Total Paid
Medicaid	$1.4M
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
D0120	Periodic oral evaluation - established patient	14,650	$20	$234.4K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	7,120	$30	$227.8K
D1120	Prophylaxis–child	8,220	$30	$205.5K
D1208	Topical application of fluoride - excluding varnish	12,790	$10	$153.5K
D0330	N/A	3,020	$40	$114.8K
D0274	N/A	3,180	$20	$66.7K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	3,440	$20	$62K
D0272	N/A	3,900	$20	$58.6K
D2392	Post 2 surface resin‑based composite	830	$70	$57.8K
D9230	N/A	2,220	$20	$39.9K

Showing 1–10 of 21

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Alabama Distribution

Al Dental Professionals PC — 1 of 20 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. Alabama median

21 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2392	Post 2 surface resin‑based composite	114	280	520	$70	$144.9K
D1120	Prophylaxis–child	76	520	810	$30	$104.3K
D2391	Resin‑based composite – one surface, posterior	101	250	380	$60	$91.8K
D1999	N/A	142	300	1,280	$20	$81.5K
D2393	Resin-based composite, three surfaces, posterior	37	90	170	$90	$78K
D0120	Periodic oral evaluation - established patient	51	620	810	$20	$77.2K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	123	190	490	$50	$76.2K
D0240	N/A	36	70	1,300	$20	$65.2K
D1351	Sealant - per tooth	61	180	710	$20	$63.3K
D0330	N/A	57	390	410	$40	$61.2K

Showing 1–10 of 21

Nearby Providers

Other providers in the same ZIP code as Al Dental Professionals PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Premier Family Care Arab LLC	AL	Rural Health Clinic/Center	$0	$3.8M
Kids R Us Pediatrics LLC	AL	Pediatrics Physician	$0	$2.8M
Occupational Therapy Services, Inc.	AL	Occupational Therapist	$0	$994.6K
John Crider	AL	Family Medicine Physician	$271.6K	$0
Joanna Martin	AL	Physical Therapist	$104.2K	$0
Morgan Miller	AL	Family Nurse Practitioner	$21.6K	$0
Andy Mann	AL	Chiropractor	$12.8K	$0

Al Dental Professionals PC — Billing Profile & Reimbursement Data

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Al Dental Professionals PC — Billing Profile & Reimbursement Data

Sign up for Al Dental Professionals PC — 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