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    v1.0.28
    OpenPayerNPI Medicare & MedicaidRoderick Coleman
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    Roderick Coleman — Billing Profile & Reimbursement Data

    NPI 1033249867 · Vicksburg, MS · Pediatric Dentistry

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    Roderick Coleman is a pediatric dentistry provider located in Vicksburg, Mississippi. This profile covers 0 Medicare and 22 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationRoderick Coleman
    Address120 Holt Collier Dr
    CityVicksburg
    StateMS
    ZIP39183
    TaxonomyPediatric Dentistry
    NPI EnumeratedMarch 7, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$2.8M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    22 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D2392Post 2 surface resin‑based composite5,770$80$484.9K
    D1120Prophylaxis–child14,860$20$312.1K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)4,560$60$273.8K
    D1351Sealant - per tooth13,370$20$267.4K
    D0150Comprehensive oral evaluation – new or established patient9,610$20$221K
    D2930N/A2,320$90$218K
    D1208Topical application of fluoride - excluding varnish14,970$10$179.6K
    D2391Resin‑based composite – one surface, posterior2,800$60$179.1K
    D0120Periodic oral evaluation - established patient5,150$30$139.1K
    D0330N/A3,320$40$119.3K

    Showing 1–10 of 22

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Mississippi median

    22 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D2930N/A511601,130$90$267.6K
    D2392Post 2 surface resin‑based composite16360360$90$112.4K
    D1351Sealant - per tooth24320570$20$96.7K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)13330240$110$91K
    D1120Prophylaxis–child287401,040$20$79.8K
    D3220N/A51100330$60$70.1K
    D2391Resin‑based composite – one surface, posterior20290290$70$57.5K
    D0120Periodic oral evaluation - established patient55540530$20$53.8K
    D0150Comprehensive oral evaluation – new or established patient16700590$30$45.9K
    D0272N/A28440440$20$36K

    Showing 1–10 of 22

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    G A Carmichael Family Health Center IncMSFederally Qualified Health Center (FQHC)$0$1.9M
    Janay HarperMSPodiatrist$98.3K$0
    Calvin RamseyMSInternal Medicine Physician$70.7K$0
    Preston BolesMSPodiatrist$56.3K$0
    Yvette MclaurinMSFamily Nurse Practitioner$310$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Vicksburg Healthcare LLCMSGeneral Acute Care Hospital$0$23M
    Vicksburg Clinic LLCMSRural Health Clinic/Center$0$15.9M
    Vicksburg Clinic LLCMSFamily Medicine Physician$0$4.1M
    Vicksburg Family DentalMSGeneral Practice Dentistry$0$2.6M
    Rcg Mississippi, Inc.MSEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$2.5M
    Gateway Behavioral Health ServicesMSMental Health Clinic/Center (Including Community Mental Health Center)$0$2.2M
    Roderick L. Coleman, D.m.d., PAMSPediatric Dentistry$0$1.4M
    Drs. Coleman And Taylor, D.d.s., M.s.MSOrthodontics and Dentofacial Orthopedics Dentistry$0$1.2M
    Paul PierceMSCardiovascular Disease Physician$291.9K$0
    John FaganMSUrology Physician$172.2K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Mississippi Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Mississippi Distribution
    Roderick Coleman — 5 of 22 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Mississippi