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

Why is the Medicaid comparison limited to Rhode Island 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. Rhode Island (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 Elice (NPI 1932296688)

Field	Value
Entity Type	Individual
Organization	Craig Elice
Address	1090 New London Avenue
City	Cranston
State	RI
ZIP	02816
Taxonomy	Pediatric Dentistry
NPI Enumerated	October 6, 2006

Payer Source	Total Paid
Medicaid	$864.4K
Medicare	$0

Medicaid: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1120	Prophylaxis–child	6,400	$40	$268.6K
D1208	Topical application of fluoride - excluding varnish	7,110	$30	$199K
D0120	Periodic oral evaluation - established patient	6,590	$20	$131.8K
D2392	Post 2 surface resin‑based composite	950	$110	$101.3K
D1310	N/A	860	$30	$29.4K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	440	$60	$27.1K
D1330	N/A	860	$30	$25.9K
D0272	N/A	890	$20	$21.4K
D0150	Comprehensive oral evaluation – new or established patient	460	$40	$16.2K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	180	$80	$15.5K

Showing 1–10 of 15

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Rhode Island Distribution

Craig Elice — 1 of 15 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Rhode Island

Full comparison — all codes billed, vs. Rhode Island median

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D1120	Prophylaxis–child	18	160	710	$30	$91.2K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	70	100	510	$50	$65.4K
D2392	Post 2 surface resin‑based composite	29	110	240	$60	$47.6K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	98	180	490	$20	$42.3K
D1351	Sealant - per tooth	63	90	670	$20	$41.4K
D0120	Periodic oral evaluation - established patient	18	210	930	$10	$38.1K
D1208	Topical application of fluoride - excluding varnish	4	100	290	$20	$32.1K
D0330	N/A	64	100	400	$40	$30.7K
D2391	Resin‑based composite – one surface, posterior	71	110	230	$40	$28.7K
D0272	N/A	33	110	230	$20	$18.9K

Showing 1–10 of 15

Related Providers

Other providers that share a Tax Identification Number (TIN) with Craig Elice, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Juyoung An	RI	Pediatric Dentistry	$0	$3.9M
Fotini Dionisopoulos	RI	Pediatric Dentistry	$0	$628.1K
Steven Lasser	RI	Pediatric Dentistry	$0	$502.6K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Summer Villa Inc.	RI	Assisted Living Facility	$0	$5M
Town Of Coventry	RI	Developmentally Disabled Services Day Training Agency	$0	$2.1M
Coventry Public Schools	RI	Local Education Agency (LEA)	$0	$2M
Naveed Shah	RI	Pulmonary Disease Physician	$1.4M	$0
Coventry Home Care	RI	Home Health Agency	$0	$1.2M
Andrianna Edwards	RI	General Practice Dentistry	$0	$1.1M
William Gordon	RI	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$1M
Robert Rattenni	RI	Mental Health Counselor	$0	$737.6K
Christopher Gordon	RI	Pediatric Dentistry	$0	$641.8K
Rhode Island Childrens Dentistry	RI	Dentist	$0	$415.5K

Craig Elice — Billing Profile & Reimbursement Data

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Craig Elice — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References