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

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

Matthews Dental Associates, PA (NPI 1861710931)

Field	Value
Entity Type	Organization
Organization	Matthews Dental Associates, PA
Address	451 Hockessin Cors
City	Hockessin
State	DE
ZIP	19707
Taxonomy	Dentist
NPI Enumerated	May 13, 2010

Payer Source	Total Paid
Medicaid	$1.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

26 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1120	Prophylaxis–child	6,100	$50	$329.5K
D0120	Periodic oral evaluation - established patient	6,450	$40	$257.8K
D9230	N/A	2,870	$70	$203.4K
D1208	Topical application of fluoride - excluding varnish	5,110	$30	$158.3K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	690	$160	$110.9K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	1,420	$70	$100.6K
D2150	Amalgam - two surfaces, primary or permanent	630	$160	$99.4K
D0272	N/A	2,010	$40	$74.5K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	2,180	$30	$69.7K
D9110	N/A	540	$120	$61.5K

Showing 1–10 of 26

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Delaware Distribution

Matthews Dental Associates, PA — 2 of 23 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Delaware

Full comparison — all codes billed, vs. Delaware median

26 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	18	30	580	$260	$446.8K
D2392	Post 2 surface resin‑based composite	58	90	490	$220	$366.3K
D1351	Sealant - per tooth	37	70	1,690	$40	$217.1K
D2391	Resin‑based composite – one surface, posterior	63	70	320	$180	$192K
D1120	Prophylaxis–child	20	120	960	$50	$163.3K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	20	60	270	$140	$137K
D9230	N/A	7	30	900	$70	$121.1K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	45	130	1,220	$30	$116.9K
D0120	Periodic oral evaluation - established patient	24	160	800	$40	$110.5K
D2150	Amalgam - two surfaces, primary or permanent	4	10	400	$160	$105.1K

Showing 1–10 of 26

Nearby Providers

Other providers in the same ZIP code as Matthews Dental Associates, PA, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Christiana Care Health Services, Inc	DE	Family Medicine Physician	$0	$5.1M
Regal Heights Healthcare & Rehab Center, LLC	DE	Skilled Nursing Facility	$0	$410.3K
Mac Physicians LLC	DE	General Practice Physician	$0	$391.6K
Shabbir Naqvi	DE	Body Imaging Physician	$348.3K	$0
Alessandro Bianchi	DE	Family Medicine Physician	$302.6K	$0
Guy Webster	DE	Dermatology Physician	$283.2K	$0
Performance Physical Therapy, Inc	DE	Physical Therapy Clinic/Center	$0	$262.9K
Walgreen Co.	DE	Pharmacy	$254.9K	$0
Hockessin Fire Company	DE	Ambulance	$244.1K	$7.3K
Family Practice Of Hockessin, P.A.	DE	Family Medicine Physician	$0	$232.7K

Matthews Dental Associates, PA — Billing Profile & Reimbursement Data

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Matthews Dental Associates, PA — 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