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

Why is the Medicaid comparison limited to New Jersey 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. New Jersey (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.

Somers Point Dental, PC (NPI 1902212020)

Field	Value
Entity Type	Organization
Organization	Somers Point Dental, PC
Address	425 Route 9 S
City	Little Egg Harbor Twp
State	NJ
ZIP	08087
Taxonomy	Dentist
NPI Enumerated	July 9, 2014

Payer Source	Total Paid
Medicaid	$9.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

41 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2752	N/A	5,620	$500	$2.8M
D3330	N/A	2,050	$450	$916.8K
D1351	Sealant - per tooth	34,610	$20	$692.3K
D0140	Limited oral evaluation – problem focused	15,030	$40	$571.2K
D1120	Prophylaxis–child	13,900	$40	$569.9K
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…	7,080	$70	$509.8K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	12,030	$40	$493.3K
D2954	N/A	4,610	$90	$414.9K
D0120	Periodic oral evaluation - established patient	18,200	$20	$400.3K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	13,120	$30	$380.5K

Showing 1–10 of 41

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. New Jersey Distribution

Somers Point Dental, PC — 17 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Jersey

Full comparison — all codes billed, vs. New Jersey median

41 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D7240	N/A	44	70	240	$290	$365.6K
D2752	N/A	1	30	120	$470	$280.7K
D3330	N/A	7	150	120	$520	$229.4K
D2930	N/A	130	170	340	$100	$154.2K
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…	12	310	320	$90	$153.5K
D2750	Crown - porcelain fused to high noble metal	58	110	100	$380	$132.2K
D1351	Sealant - per tooth	19	510	780	$20	$106.8K
D2392	Post 2 surface resin‑based composite	89	910	380	$50	$86K
D3320	N/A	5	90	50	$410	$82K
D1120	Prophylaxis–child	42	1,230	340	$30	$76.6K

Showing 1–10 of 41

Nearby Providers

Other providers in the same ZIP code as Somers Point Dental, PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Atlanticare Surgery Center	NJ	Ambulatory Surgical Clinic/Center	$1.2M	$0
Dhiren Gandhi	NJ	Family Medicine Physician	$556.1K	$0
Albert Matic	NJ	Physical Therapist	$11.2K	$0

Somers Point Dental, PC — Billing Profile & Reimbursement Data

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Somers Point Dental, PC — 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