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

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

Brett Jones (NPI 1982959722)

Field	Value
Entity Type	Individual
Organization	Brett Jones
Address	615 E 14th St
City	Des Moines
State	IA
ZIP	50316
Taxonomy	General Practice Dentistry
NPI Enumerated	July 18, 2012

Payer Source	Total Paid
Medicaid	$1.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

26 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	8,040	$40	$289.3K
D2392	Post 2 surface resin‑based composite	3,530	$70	$254.4K
D4341	Periodontal scaling and root planing - four or more teeth per quadrant	3,650	$60	$218.8K
D0120	Periodic oral evaluation - established patient	12,200	$20	$207.5K
D0274	N/A	6,840	$20	$143.6K
D1120	Prophylaxis–child	5,590	$30	$139.8K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	8,570	$20	$128.6K
D2391	Resin‑based composite – one surface, posterior	1,940	$50	$99.1K
D2393	Resin-based composite, three surfaces, posterior	1,130	$80	$85.5K
D0150	Comprehensive oral evaluation – new or established patient	3,610	$20	$79.4K

Showing 1–10 of 26

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Iowa Distribution

Brett Jones — 4 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Iowa

Full comparison — all codes billed, vs. Iowa median

26 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2740	N/A	28	50	60	$360	$101.8K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	69	170	330	$50	$88.3K
D1351	Sealant - per tooth	155	190	750	$20	$60.2K
D2392	Post 2 surface resin‑based composite	21	210	230	$60	$58.6K
D4341	Periodontal scaling and root planing - four or more teeth per quadrant	4	50	210	$70	$46K
D1120	Prophylaxis–child	40	580	310	$20	$43.3K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	15	630	370	$30	$36.8K
D2391	Resin‑based composite – one surface, posterior	23	190	210	$40	$34.7K
D0120	Periodic oral evaluation - established patient	25	830	530	$20	$34.1K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	42	630	500	$10	$33.3K

Showing 1–10 of 26

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Marisa Heisterkamp	IA	Dentist	$0	$849.8K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Central Iowa Hospital Corporation	IA	General Acute Care Hospital	$0	$14.7M
Ocean Dental Of Iowa	IA	General Practice Dentistry	$0	$9.4M
Open Arms Home Health Care - Des Moines, LLC	IA	Home Health Agency	$0	$5M
Central Iowa Hospital Corporation	IA	Family Medicine Physician	$0	$1.6M
Central Iowa Dialysis Partners LLC	IA	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.2M
David Vittetoe	IA	Orthopaedic Surgery Physician	$384.4K	$0
Ian Lin	IA	Orthopaedic Surgery Physician	$160.8K	$0
Matthew Herring	IA	Orthopaedic Trauma Physician	$141.9K	$0
Then Tong	IA	Internal Medicine Physician	$129.4K	$0
Ramesh Gadiraju	IA	Hospitalist Physician	$117.9K	$0

Brett Jones — Billing Profile & Reimbursement Data

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Brett Jones — 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