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

Why is the Medicaid comparison limited to Unspecified Location 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. Unspecified Location (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.

Sharon Feller (NPI 1912900390)

Field	Value
Entity Type	Individual
Organization	Sharon Feller
Address	Us Naval Hospital
City	Gricignano Di Aversa
State	ZZ (Unspecified Location)
ZIP	81030
Taxonomy	General Practice Dentistry
NPI Enumerated	May 31, 2005

Payer Source	Total Paid
Medicaid	$2.4K
Medicare	$0

Key Findings

This provider has no Medicare billing on file and reports a total Medicaid revenue of $2.4K, indicating an effectively single‑payer billing profile concentrated in Medicaid. The absence of Medicare activity suggests limited engagement with Medicare populations or that services to Medicare beneficiaries are not billed under this NPI.

Revenue is highly concentrated in a narrow set of dental codes: the precomputed top three Medicaid codes together account for 100.0% of the provider's Medicaid revenue, with D1206 at 51.8%, D0120 at 33.2%, and D0140 at 15.0%. This concentration signals a tightly focused service mix rather than a broad procedure portfolio.

The top codes—D1206 (topical fluoride treatment), D0120 (periodic oral evaluation), and D0140 (limited oral evaluation)—characterize this practice as delivering preventive and problem‑focused diagnostic dental services rather than high‑revenue restorative or surgical procedures. The claim and payment profile aligns with routine preventive care and limited evaluations rather than specialty or complex dental care.

Competitive standing varies by code: D1206 and D0140 both rank #1 of 1 providers in‑state (0th percentile; no state peer volume comparison available), meaning this provider is the sole in‑state reporter for those codes in the dataset and cannot be benchmarked against peers for volume. However, being the only reporter does not imply large scale here given the small absolute revenue totals for those codes.

For D0120 the provider ranks #3 of 5 in‑state (50th percentile; typical, unremarkable volume for this code), suggesting mid‑range participation in routine periodic evaluations relative to local peers. The reported D0120 activity (42 claims, $19 avg paid/claim, $798 revenue) supports a modest but not leading role for this code in the local market.

Claim‑level details underscore low payment levels and modest throughput: D1206 shows 89 claims at $14 avg paid/claim for $1.2K revenue; D0140 shows 18 claims at $20 avg paid/claim for $360 revenue. These unit payments and small aggregate revenue are consistent with a low‑volume, prevention‑focused Medicaid practice.

The provider's NPI was enumerated on 2005-05-31 (~21 years ago), indicating long tenure in the registry. Long enumeration combined with low Medicaid billing suggests either a small clinical panel of Medicaid patients, limited Medicaid participation, or that the provider's primary revenue streams lie outside the datasets provided.

Operationally, the pattern implies this clinician is delivering preventive fluoride applications and routine or problem‑focused exams as the core Medicaid services; for payers and network planners this profile looks like an ancillary or limited Medicaid participant rather than a major dental provider for Medicaid populations. If seeking capacity for broader Medicaid dental services, this provider would likely represent incremental, prevention‑oriented capacity rather than a source of extensive restorative or specialty care.

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	90	$10	$1.2K
D0120	Periodic oral evaluation - established patient	40	$20	$800
D0140	Limited oral evaluation – problem focused	20	$20	$360

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Unspecified Location providers billing the same CPT/HCPCS codes. Note: "ZZ" is a placeholder CMS uses when a provider's practice-location state wasn't reported — not a traditional US state; claims coded under it are benchmarked here as their own state-equivalent group.

Claims Volume vs. Unspecified Location Distribution

Sharon Feller — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Unspecified Location

Full comparison — all codes billed, vs. Unspecified Location median

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D0120	Periodic oral evaluation - established patient	3	10	40	$20	$1.4K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	1	10	90	$10	$1.3K
D0140	Limited oral evaluation – problem focused	1	10	20	$20	$360

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Scott Story	—	Diagnostic Radiology Physician	$16.7K	$0

Sharon Feller — Billing Profile & Reimbursement Data

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Sharon Feller — 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