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

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

Raymond Durham (NPI 1861929846)

Field	Value
Entity Type	Individual
Organization	Raymond Durham
Address	991 Shepard Ln Ste 100
City	Farmington
State	UT
ZIP	84025
Taxonomy	Dentist
NPI Enumerated	May 22, 2017

Payer Source	Total Paid
Medicaid	$432.5K
Medicare	$0

Medicaid: Complete Services Breakdown

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

16 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D0120	Periodic oral evaluation - established patient	2,410	$60	$142K
D1120	Prophylaxis–child	2,560	$30	$69.2K
D0150	Comprehensive oral evaluation – new or established patient	210	$160	$33.8K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	2,590	$10	$33.6K
D0220	Intraoral - periapical first radiographic image	1,680	$20	$30.2K
D0272	N/A	1,360	$20	$28.6K
D0230	Intraoral - periapical each additional radiographic image	2,590	$10	$20.7K
D0274	N/A	630	$30	$17K
D1351	Sealant - per tooth	930	$20	$16.8K
D0330	N/A	260	$60	$16.4K

Showing 1–10 of 16

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Utah Distribution

Raymond Durham — 0 of 16 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Utah

Full comparison — all codes billed, vs. Utah median

16 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D0120	Periodic oral evaluation - established patient	103	470	460	$80	$149.8K
D1351	Sealant - per tooth	74	190	620	$30	$60.7K
D2150	Amalgam - two surfaces, primary or permanent	164	220	290	$60	$45K
D2392	Post 2 surface resin‑based composite	105	170	170	$80	$39.4K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	131	150	170	$60	$35.9K
D0220	Intraoral - periapical first radiographic image	105	440	470	$20	$32.8K
D0150	Comprehensive oral evaluation – new or established patient	159	420	110	$100	$30.8K
D1120	Prophylaxis–child	92	420	440	$20	$30.7K
D2391	Resin‑based composite – one surface, posterior	69	110	170	$70	$25.2K
D2140	Amalgam - one surface, primary or permanent	126	170	200	$50	$25.2K

Showing 1–10 of 16

Related Providers

Other providers that share a Tax Identification Number (TIN) with Raymond Durham, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cameron Quayle	UT	Pediatric Dentistry	$0	$3.1M
Big Smiles Utah P.C.	UT	Dentist	$0	$1.3M
Mountain View Pediatric Dentistry LLC	UT	Dental Clinic/Center	$0	$987.7K

Nearby Providers

Other providers in the same ZIP code as Raymond Durham, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Davis School District	UT	Audiologist	$0	$7.9M
Utah Imaging Associates Inc	UT	Diagnostic Radiology Physician	$0	$2.3M
John Anderson	UT	Pediatric Dentistry	$0	$813.3K
Farmington City Corp	UT	Land Ambulance	$52.6K	$509.4K
Andrew Coles	UT	Interventional Pain Medicine Physician	$389.6K	$120.9K
Christopher Kim	UT	Cardiovascular Disease Physician	$427.8K	$0
Roja Mulamalla	UT	Cardiovascular Disease Physician	$257.7K	$0
Daniel Humiston	UT	Cardiovascular Disease Physician	$243.9K	$0
Lauren Zollinger	UT	Diagnostic Radiology Physician	$196.9K	$0
Chad Mcbride	UT	Cardiovascular Disease Physician	$185.3K	$0

Raymond Durham — Billing Profile & Reimbursement Data

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Raymond Durham — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References