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

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

Clubhouse Pediatric Dentistry Of Jackson (NPI 1942775960)

Field	Value
Entity Type	Organization
Organization	Clubhouse Pediatric Dentistry Of Jackson
Address	1130 Us-89
City	Jackson Hole
State	WY
ZIP	83001
Taxonomy	Pediatric Dentistry
NPI Enumerated	October 5, 2018

Payer Source	Total Paid
Medicaid	$129.7K
Medicare	$0

Medicaid: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D0120	Periodic oral evaluation - established patient	1,340	$30	$38.9K
D1120	Prophylaxis–child	1,230	$30	$38.1K
D1208	Topical application of fluoride - excluding varnish	1,020	$20	$18.3K
D0220	Intraoral - periapical first radiographic image	780	$10	$11K
D0230	Intraoral - periapical each additional radiographic image	680	$10	$8.9K
D1351	Sealant - per tooth	210	$30	$5.6K
D0272	N/A	240	$20	$4.5K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	50	$50	$2.7K
D0330	N/A	20	$70	$1.2K
D9230	N/A	10	$20	$280

Showing 1–10 of 11

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Wyoming Distribution

Clubhouse Pediatric Dentistry Of Jackson — 0 of 11 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wyoming

Full comparison — all codes billed, vs. Wyoming median

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D1351	Sealant - per tooth	14	30	200	$30	$64.6K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	94	100	130	$30	$46.4K
D1120	Prophylaxis–child	14	100	110	$30	$39.8K
D0120	Periodic oral evaluation - established patient	21	130	170	$30	$36.9K
D9230	N/A	19	20	360	$20	$35.9K
D0272	N/A	15	40	150	$20	$27.8K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	58	90	100	$50	$27.4K
D0230	Intraoral - periapical each additional radiographic image	10	30	370	$10	$20.7K
D0330	N/A	31	40	70	$50	$20.6K
D0220	Intraoral - periapical first radiographic image	15	50	200	$20	$19.5K

Showing 1–10 of 11

Nearby Providers

Other providers in the same ZIP code as Clubhouse Pediatric Dentistry Of Jackson, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Teton County Hospital District	WY	General Practice Physician	$0	$549.7K
Heather Thomas	WY	Case Manager/Care Coordinator	$0	$492.1K
La Familia Counseling Services	WY	Professional Counselor	$0	$417.9K
Teton Outpatient Services LLC	WY	Ambulatory Surgical Clinic/Center	$400.5K	$0
Tbt, LLC	WY	Community/Behavioral Health Agency	$0	$363.6K
Afton Cobb	WY	MOHS-Micrographic Surgery Physician	$357.5K	$0
William Lighthart	WY	Adult Reconstructive Orthopaedic Surgery Physician	$293.1K	$0
Mary Roberts	WY	Case Manager/Care Coordinator	$0	$268.5K
Christopher Hills	WY	Orthopaedic Surgery Physician	$221.5K	$0
Jennifer Bradof	WY	Clinical Social Worker	$25.7K	$135.6K

Clubhouse Pediatric Dentistry Of Jackson — Billing Profile & Reimbursement Data

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Clubhouse Pediatric Dentistry Of Jackson — 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