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

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

Roger Dow (NPI 1922112333)

Field	Value
Entity Type	Individual
Organization	Roger Dow
Address	140 Ramsgate Sq S
City	Salem
State	OR
ZIP	97302
Taxonomy	Pediatric Dentistry
NPI Enumerated	August 19, 2006

Payer Source	Total Paid
Medicaid	$1.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

21 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1120	Prophylaxis–child	5,040	$50	$227K
D2392	Post 2 surface resin‑based composite	2,470	$80	$199.7K
D0120	Periodic oral evaluation - established patient	4,740	$40	$189.5K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	4,610	$30	$119.8K
D0272	N/A	3,170	$30	$82.4K
D9420	N/A	250	$180	$45.4K
D9230	N/A	1,360	$30	$39.4K
D2391	Resin‑based composite – one surface, posterior	480	$80	$36.1K
D0220	Intraoral - periapical first radiographic image	1,960	$20	$31.4K
D0150	Comprehensive oral evaluation – new or established patient	450	$50	$20.9K

Showing 1–10 of 21

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Oregon Distribution

Roger Dow — 0 of 21 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Oregon

Full comparison — all codes billed, vs. Oregon median

21 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	69	90	530	$120	$244.4K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	144	270	200	$40	$60.1K
D1120	Prophylaxis–child	35	480	350	$30	$55.5K
D2392	Post 2 surface resin‑based composite	32	360	260	$50	$47.6K
D0120	Periodic oral evaluation - established patient	45	610	460	$20	$40.9K
D9420	N/A	10	20	170	$130	$40.8K
D0140	Limited oral evaluation – problem focused	210	560	240	$30	$37.9K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	326	500	280	$30	$30.5K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	57	580	430	$10	$28.2K
D0150	Comprehensive oral evaluation – new or established patient	211	530	260	$20	$27.3K

Showing 1–10 of 21

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Crc Health Oregon, LLC	OR	Methadone Clinic	$485.5K	$26.1M
Salem Psychiatric Associates PC	OR	Clinical Social Worker	$0	$22.7M
Shangri-la Corporation	OR	Mental Illness Community Based Residential Treatment Facility	$0	$13.5M
Cascade Infectious Diseases And Infusion LLC	OR	Infusion Therapy Clinic/Center	$0	$9.6M
Salem Pediatric Clinic	OR	Pediatrics Physician	$0	$9M
Silver Falls Dermatology, LLC	OR	Dermatology Physician	$0	$6.8M
Retina Consultants, LLP	OR	Ophthalmology Physician	$0	$6.6M
Cascade Sleep Supply, LLC.	OR	Durable Medical Equipment & Medical Supplies	$0	$6.1M
Creating Pathways	OR	Speech-Language Pathologist	$0	$5.7M
Salem Pulmonary Associates P.C.	OR	Pulmonary Disease Physician	$0	$4.8M

Roger Dow — Billing Profile & Reimbursement Data

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Roger Dow — 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