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

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

2nd Street Dental, LLC (NPI 1881194280)

Field	Value
Entity Type	Organization
Organization	2nd Street Dental, LLC
Address	2546 E 2nd St Ste 300
City	Casper
State	WY
ZIP	82609
Taxonomy	Dental Clinic/Center
NPI Enumerated	February 13, 2018

Payer Source	Total Paid
Medicaid	$2.4M
Medicare	$0

Key Findings

This provider is effectively single‑payer: there is no Medicare billing on file while lifetime Medicaid revenue is reported as $2.4M. Analysts should interpret 2ND STREET DENTAL, LLC as having a Medicaid-centric practice footprint in Wyoming rather than a mixed Medicare/Medicaid payer mix, which has implications for network contracting and Medicaid program reliance.

Revenue is highly concentrated in a small set of dental services: the top three Medicaid codes (D2150, D1351, D0220) account for 50.9% of total Medicaid revenue. Specifically, D2150 generated $615.2K (26.1%), D1351 generated $337.7K (14.3%), and D0220 generated $246.8K (10.5%), making these codes the primary drivers of the clinic’s Medicaid income.

The code mix points to a general dental practice focused on restorative, preventive, and diagnostic care: D2150 (Amalgam - two surfaces) reflects restorative fillings, D1351 (Sealant - per tooth) and D1206 (Topical Fluoride Treatment) reflect preventive programs, and D0220 (Intraoral periapical image) reflects routine diagnostic imaging. The presence of both D1110 (Prophylaxis - adult) at $190.2K and D1120 (Prophylaxis–child) at $67.6K suggests the clinic treats both adult and pediatric preventive needs rather than a strictly age‑segmented practice.

2ND STREET DENTAL is a dominant statewide provider for several specific codes: D2150 ranks #1 of 5 providers in-state (100th percentile; notably above typical state volume), indicating a leading share for two-surface amalgam restorations in Wyoming Medicaid. Similarly, D0274 ranks #1 of 60 providers (100th percentile; extreme outlier, far above typical state volume for this code), which signals unusually high volume or specialization for that code relative to state peers.

D1351 and D0220 are also high-volume relative to peers: D1351 ranks #2 of 29 providers in-state (96th percentile; notably above typical state volume) and D0220 ranks #3 of 47 providers (96th percentile; notably above typical state volume). These percentile positions and rank placements indicate the practice competes at the top of the state distribution for both preventive sealants and basic periapical imaging.

Several codes are flagged as statistical outliers or extremely elevated versus peers, which is operationally notable: D0274 is described as an "extreme outlier, far above typical state volume," and D0150 (Comprehensive oral evaluation) is similarly noted as an "extreme outlier, far above typical state volume" while ranking #2 of 58 providers (98th percentile). Those labels suggest the clinic’s coding and service mix for certain visit/evaluation and procedure codes are substantially different from typical state providers.

The practice’s service breadth includes both routine preventive services and higher-volume restorative/extraction procedures. Preventive services show material revenue: D1110 produced $190.2K (8.1% of Medicaid revenue) and D1206 produced $109.6K (4.6%), while common operative codes such as D7140 (extraction) generated $52.7K (2.2%), supporting a full-service general dentistry profile rather than a narrowly specialized clinic.

The provider has been enumerated since 2018-02-13 (~8 years ago), indicating an established presence in the market during which it built a $2.4M Medicaid revenue footprint. Given the absence of Medicare billing and the concentration of revenue in a handful of Medicaid codes, payers and partners should view contracting, utilization management, and quality measurement for this entity through a Medicaid lens focused on restorative and preventive dental services.

Medicaid: Complete Services Breakdown

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

24 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2150	Amalgam - two surfaces, primary or permanent	6,210	$100	$615.2K
D1351	Sealant - per tooth	11,650	$30	$337.7K
D0220	Intraoral - periapical first radiographic image	6,020	$40	$246.8K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	3,660	$50	$190.2K
D0274	N/A	3,830	$40	$138K
D0150	Comprehensive oral evaluation – new or established patient	3,740	$40	$134.5K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	2,960	$40	$109.6K
D9110	N/A	1,890	$60	$104.2K
D0120	Periodic oral evaluation - established patient	2,920	$30	$96.3K
D0330	N/A	1,520	$60	$91K

Showing 1–10 of 24

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Wyoming Distribution

2nd Street Dental, LLC — 10 of 23 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wyoming

Full comparison — all codes billed, vs. Wyoming median

24 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2150	Amalgam - two surfaces, primary or permanent	1	10	150	$100	$140K
D1351	Sealant - per tooth	2	30	200	$30	$64.6K
D2391	Resin‑based composite – one surface, posterior	15	20	140	$70	$56.9K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	12	100	130	$30	$46.4K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	5	20	300	$70	$40.1K
D1120	Prophylaxis–child	13	100	110	$30	$39.8K
D0120	Periodic oral evaluation - established patient	11	130	170	$30	$36.9K
D9230	N/A	8	20	360	$20	$35.9K
D4355	N/A	1	10	350	$90	$30.4K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	3	90	100	$50	$27.4K

Showing 1–10 of 24

Nearby Providers

Other providers in the same ZIP code as 2nd Street Dental, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northwest Community Action Programs Of Wyoming, Inc.	WY	Developmentally Disabled Services Day Training Agency	$0	$25.8M
Community Health Center Of Central Wyoming, Inc.	WY	Federally Qualified Health Center (FQHC)	$0	$15.3M
Emg Casper Mw LLC	WY	Assisted Living Facility	$0	$5.9M
Casper Children's Center, LLC	WY	Pediatrics Physician	$0	$4M
Wyoming Behavioral Institute	WY	Psychiatric Hospital	$0	$2.7M
John Purviance	WY	Radiation Oncology Physician	$2.5M	$0
Stephen Brown	WY	Child & Adolescent Psychiatry Physician	$0	$2.4M
Solutions Counseling Services LLC	WY	Community/Behavioral Health Agency	$0	$2.1M
Surfin Smiles LLC	WY	Pediatric Dentistry	$0	$2M
Elie Fahed	WY	Medical Oncology Physician	$1.9M	$0

2nd Street Dental, LLC — Billing Profile & Reimbursement Data

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2nd Street Dental, LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References