Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidMagicland Pediatric Dental LLC
    Ask Trek AI about this page

    Magicland Pediatric Dental LLC — Billing Profile & Reimbursement Data

    NPI 1033622246 · Waterbury, CT · Pediatric Dentistry

    Customize your policy alerts

    Sign up for Magicland Pediatric Dental LLC — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Magicland Pediatric Dental LLC is a pediatric dentistry provider located in Waterbury, Connecticut. This profile covers 0 Medicare and 25 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Table of contents

    Progress1 / 7

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationMagicland Pediatric Dental LLC
    Address1141 Wolcott St
    CityWaterbury
    StateCT
    ZIP06705
    TaxonomyPediatric Dentistry
    NPI EnumeratedNovember 9, 2017

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

    Payer SourceTotal Paid
    Medicaid$6.6M
    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.

    25 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D1120Prophylaxis–child29,180$40$1.3M
    D2150Amalgam - two surfaces, primary or permanent8,730$110$934.4K
    D0120Periodic oral evaluation - established patient21,100$30$717.5K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients22,940$30$642.3K
    D0150Comprehensive oral evaluation – new or established patient7,830$60$493.3K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)3,340$110$371K
    D2930N/A1,380$200$272.1K
    D0272N/A6,700$30$207.8K
    D0140Limited oral evaluation – problem focused3,880$50$178.3K
    D3220N/A1,380$130$177.6K

    Showing 1–10 of 25

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Connecticut median

    25 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D2930N/A1650340$170$246.3K
    D2392Post 2 surface resin‑based composite122390620$80$144.8K
    D1120Prophylaxis–child13660570$40$120.7K
    D2391Resin‑based composite – one surface, posterior152330430$60$89.4K
    D9230N/A21110550$50$88.3K
    D0120Periodic oral evaluation - established patient18730700$30$80.6K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)14210370$70$79.3K
    D1351Sealant - per tooth34190580$30$70K
    D1208Topical application of fluoride - excluding varnish82560740$20$66.4K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients9300300$20$61.6K

    Showing 1–10 of 25

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Wolcott Street Dental-2, PCCTDentist$0$21.1M
    There For You Home Care ServicesCTHome Health Agency$0$15.5M
    Connecticut Counseling Centers, Inc.CTMethadone Clinic$204.7K$14.8M
    Health Complex Medical LLCCTOxygen Equipment & Supplies (DME)$0$13.1M
    Emerest Home Care Of Connecticut LLCCTIn Home Supportive Care Agency$0$9.3M
    Mindscapes Counseling PLLCCTClinical Social Worker$0$6.2M
    Salute Homecare LLCCTHome Health Agency$0$4.1M
    Wct Behavioral Health & Medication Management PLLCCTFamily Nurse Practitioner$0$4M
    Reliable Dental Waterbury Inc.CTGeneral Practice Dentistry$0$1.5M
    Total Renal Care IncCTEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$1.4M

    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. Connecticut Providers
    2 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Connecticut Distribution
    Magicland Pediatric Dental LLC — 8 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Connecticut