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.

Craig Blackham (NPI 1881724417)

Field	Value
Entity Type	Individual
Organization	Craig Blackham
Address	6822 East 1000 South
City	Fort Duchesne
State	UT
ZIP	84026
Taxonomy	General Practice Dentistry
NPI Enumerated	March 6, 2007

Payer Source	Total Paid
Medicaid	$695.1K
Medicare	$0

Medicaid: Complete Services Breakdown

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

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1120	Prophylaxis–child	2,520	$60	$140.9K
D2150	Amalgam - two surfaces, primary or permanent	1,370	$70	$97.6K
D0120	Periodic oral evaluation - established patient	2,460	$40	$90.9K
D0150	Comprehensive oral evaluation – new or established patient	960	$70	$69.9K
D0140	Limited oral evaluation – problem focused	1,250	$40	$45K
D0274	N/A	2,110	$20	$42.3K
D0220	Intraoral - periapical first radiographic image	2,350	$20	$37.7K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	2,650	$10	$34.5K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…	300	$110	$31.8K
D2160	Amalgam - three surfaces, primary or permanent	420	$70	$27.9K

Showing 1–10 of 19

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

Craig Blackham — 1 of 19 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

19 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D0120	Periodic oral evaluation - established patient	99	470	460	$80	$149.8K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…	20	40	260	$80	$66.8K
D1351	Sealant - per tooth	52	190	620	$30	$60.7K
D0140	Limited oral evaluation – problem focused	23	260	140	$120	$55.8K
D2150	Amalgam - two surfaces, primary or permanent	36	220	290	$60	$45K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	90	150	170	$60	$35.9K
D0220	Intraoral - periapical first radiographic image	79	440	470	$20	$32.8K
D0150	Comprehensive oral evaluation – new or established patient	34	420	110	$100	$30.8K
D1120	Prophylaxis–child	95	420	440	$20	$30.7K
D2140	Amalgam - one surface, primary or permanent	157	170	200	$50	$25.2K

Showing 1–10 of 19

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dhew Ind Hlth Sv Hlth Svs&mntal Hlth Adm	UT	Federal Public Health Clinic/Center	$0	$3.7M

Craig Blackham — Billing Profile & Reimbursement Data

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Craig Blackham — 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