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

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

Shelton Dental Group LLC (NPI 1972014744)

Field	Value
Entity Type	Organization
Organization	Shelton Dental Group LLC
Address	169 Center St
City	Shelton
State	CT
ZIP	06484
Taxonomy	Dentist
NPI Enumerated	October 19, 2017

Payer Source	Total Paid
Medicaid	$2.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

37 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D0140	Limited oral evaluation – problem focused	7,510	$30	$202.8K
D0274	N/A	6,030	$30	$181K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	4,830	$30	$164.4K
D2392	Post 2 surface resin‑based composite	2,190	$70	$159.7K
D1208	Topical application of fluoride - excluding varnish	6,860	$20	$144K
D0120	Periodic oral evaluation - established patient	5,980	$20	$143.5K
D0330	N/A	2,580	$50	$118.8K
D1120	Prophylaxis–child	2,580	$40	$111K
D2751	N/A	250	$440	$109.3K
D2954	N/A	680	$140	$92.5K

Showing 1–10 of 37

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Connecticut Distribution

Shelton Dental Group LLC — 1 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Connecticut

Full comparison — all codes billed, vs. Connecticut median

37 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D3330	N/A	18	40	70	$480	$172.7K
D7250	N/A	24	40	280	$100	$146.4K
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…	76	140	300	$80	$145.8K
D2392	Post 2 surface resin‑based composite	84	390	620	$80	$144.8K
D1120	Prophylaxis–child	149	660	570	$40	$120.7K
D2391	Resin‑based composite – one surface, posterior	92	330	430	$60	$89.4K
D0120	Periodic oral evaluation - established patient	88	730	700	$30	$80.6K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	141	210	370	$70	$79.3K
D1351	Sealant - per tooth	169	190	580	$30	$70K
D1208	Topical application of fluoride - excluding varnish	65	560	740	$20	$66.4K

Showing 1–10 of 37

Nearby Providers

Other providers in the same ZIP code as Shelton Dental Group LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pediatric Services Of America, LLC	CT	Home Health Agency	$0	$92.9M
Adult Day Care Of America, Inc.	CT	In Home Supportive Care Agency	$0	$35.1M
Dianon Systems, Inc	CT	Clinical Medical Laboratory	$4.9M	$8.5M
Option Care Enterprises, Inc	CT	Home Infusion Therapy Pharmacy	$0	$13.3M
Ameripath New York LLC	CT	Clinical Medical Laboratory	$2.9M	$7.7M
Esoterix Genetic Laboratories, LLC	CT	Clinical Medical Laboratory	$2.2M	$3.2M
Enzo Clinical Labs, Inc.	CT	Clinical Medical Laboratory	$0	$3.8M
Bridgeport Radiological Associates LLC	CT	Diagnostic Radiology Physician	$0	$2.9M
Shelton Pediatrics	CT	Pediatrics Physician	$0	$2.7M
Echo Hose Hook And Ladder Ambulance Corps., Inc.	CT	Land Ambulance	$568.5K	$1.7M

Shelton Dental Group LLC — Billing Profile & Reimbursement Data

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Shelton Dental Group LLC — 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