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

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

Everhart & Pinto Plc (NPI 1992878367)

Field	Value
Entity Type	Organization
Organization	Everhart & Pinto Plc
Address	1 Kennedy Dr
City	So Burlington
State	VT
ZIP	05403
Taxonomy	Dentist
NPI Enumerated	November 15, 2006

Payer Source	Total Paid
Medicaid	$251.5K
Medicare	$0

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	3,080	$50	$148K
D0120	Periodic oral evaluation - established patient	3,100	$30	$77.5K
D0274	N/A	320	$30	$9.2K
D1120	Prophylaxis–child	270	$30	$7.8K
D2392	Post 2 surface resin‑based composite	30	$120	$3.9K
D1208	Topical application of fluoride - excluding varnish	180	$20	$3.2K
D0150	Comprehensive oral evaluation – new or established patient	60	$30	$1.9K
D1999	N/A	20	$0	$0

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Vermont Distribution

Everhart & Pinto Plc — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Vermont

Full comparison — all codes billed, vs. Vermont median

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2392	Post 2 surface resin‑based composite	56	60	610	$130	$155.6K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	20	150	540	$50	$73.5K
D1120	Prophylaxis–child	52	110	220	$40	$59.2K
D0120	Periodic oral evaluation - established patient	27	160	720	$30	$57.8K
D0150	Comprehensive oral evaluation – new or established patient	61	80	330	$40	$38.9K
D0274	N/A	47	100	250	$30	$31.1K
D1208	Topical application of fluoride - excluding varnish	22	40	180	$20	$14K
D1999	N/A	10	10	70	$0	$0

Nearby Providers

Other providers in the same ZIP code as Everhart & Pinto Plc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nfi Vermont, Inc	VT	Clinic/Center	$0	$33.6M
Bla Partners, LLC	VT	Clinical Medical Laboratory	$0	$15.2M
Timberlane Dental Group	VT	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$7.5M
Tms Vt, LLC	VT	Durable Medical Equipment & Medical Supplies	$0	$2.9M
Michelle Young	VT	Ophthalmology Physician	$2.1M	$0
Howard Center Inc	VT	Psychiatry Physician	$0	$2M
Vermont Eye Surgery & Laser Center	VT	Ambulatory Surgical Clinic/Center	$1.8M	$2.7K
David Weissgold	VT	Ophthalmology Physician	$1.7M	$0
Surgi-care Inc	VT	Prosthetic/Orthotic Supplier	$0	$1.7M
City Of So Burlington	VT	Ambulance	$400.9K	$1M

Everhart & Pinto Plc — Billing Profile & Reimbursement Data

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Everhart & Pinto Plc — 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