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

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

Birchwood Dental, PLLC (NPI 1891304556)

Field	Value
Entity Type	Organization
Organization	Birchwood Dental, PLLC
Address	3325 N Ten Mile Rd Ste 140
City	Meridian
State	ID
ZIP	83646
Taxonomy	General Practice Dentistry
NPI Enumerated	July 29, 2020

Payer Source	Total Paid
Medicaid	$720.6K
Medicare	$0

Medicaid: Complete Services Breakdown

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

20 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	3,350	$80	$278.4K
D2392	Post 2 surface resin‑based composite	2,720	$60	$174.1K
D2393	Resin-based composite, three surfaces, posterior	850	$150	$127.5K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	320	$70	$23.2K
D2391	Resin‑based composite – one surface, posterior	880	$30	$22.8K
D4341	Periodontal scaling and root planing - four or more teeth per quadrant	380	$60	$22.6K
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…	390	$50	$19.2K
D0210	Intraoral - complete series of radiographic images	150	$120	$17.9K
D0150	Comprehensive oral evaluation – new or established patient	1,400	$10	$11.2K
D0140	Limited oral evaluation – problem focused	440	$20	$7.1K

Showing 1–10 of 20

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Idaho Distribution

Birchwood Dental, PLLC — 0 of 15 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Idaho

Full comparison — all codes billed, vs. Idaho median

20 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	16	40	220	$120	$173.7K
D1120	Prophylaxis–child	164	250	180	$60	$143K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	26	320	310	$80	$80.8K
D2392	Post 2 surface resin‑based composite	25	190	280	$60	$72.9K
D0210	Intraoral - complete series of radiographic images	53	120	140	$120	$66K
D2393	Resin-based composite, three surfaces, posterior	7	70	140	$120	$41.6K
D0330	N/A	58	170	170	$50	$35.6K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	51	110	300	$30	$32.4K
D2391	Resin‑based composite – one surface, posterior	35	140	270	$40	$27.9K
D0150	Comprehensive oral evaluation – new or established patient	35	220	220	$30	$21.2K

Showing 1–10 of 20

Nearby Providers

Other providers in the same ZIP code as Birchwood Dental, PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
A New Leaf, Inc.	ID	Developmentally Disabled Services Day Training Agency	$0	$29.5M
Southern Idaho Surgery Center PLLC	ID	Ambulatory Surgical Clinic/Center	$0	$5.3M
A Helping Hand In Home Care	ID	In Home Supportive Care Agency	$0	$3.6M
Dental Care For Kids	ID	Pediatric Dentistry	$0	$3.1M
Watchdog LLC	ID	Emergency Response System Companies	$0	$2.4M
Idaho Transition Care, LLC	ID	Case Management Agency	$0	$2.1M
Small Talk Speech & Language Services	ID	Speech-Language Pathologist	$0	$1.8M
D&g Medical Associates PLLC	ID	Family Medicine Physician	$0	$1.3M
Capitol Healthcare, Inc.	ID	In Home Supportive Care Agency	$0	$1.3M
Mountain Pine Dermatology, PLLC	ID	Dermatology Physician	$0	$1.2M

Birchwood Dental, PLLC — Billing Profile & Reimbursement Data

Sign up for Birchwood Dental, PLLC — Billing Profile & Reimbursement Data policy alerts

Birchwood Dental, PLLC — Billing Profile & Reimbursement Data

Sign up for Birchwood Dental, PLLC — 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