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NPI 1053460907 · Burlington, VT · Dental Clinic/Center
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The Dental Center At Community Health Center Of Burlington is a dental clinic/center provider located in Burlington, Vermont. This profile covers 0 Medicare and 33 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | The Dental Center At Community Health Center Of Burlington |
| Address | 617 Riverside Ave |
| City | Burlington |
| State | VT |
| ZIP | 05401 |
| Taxonomy | Dental Clinic/Center |
| NPI Enumerated | January 9, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $6.7M |
| Medicare | $0 |
This provider is effectively single‑payer in scope: there is "no Medicare billing on file" while lifetime Medicaid revenue totals $6.7M, indicating the practice’s entire billed Medicare/Medicaid footprint in the dataset is driven by Medicaid. Analysts should treat THE DENTAL CENTER AT COMMUNITY HEALTH CENTER OF BURLINGTON as a Medicaid-centered dental clinic rather than a mixed Medicare/Medicaid operator.
Revenue concentration is substantial among a small set of dental procedures: the precomputed top three Medicaid codes account for 32.7% of the provider’s total Medicaid revenue. Those top three are D2392 ($799.1K, 12.0%), D1110 ($697.9K, 10.5%), and D7140 ($678.2K, 10.2%), so restorative posterior composite work, adult prophylaxis, and routine extractions together drive nearly a third of Medicaid receipts.
The procedure mix signals a high-throughput, safety‑net dental operation that blends preventive, restorative, and urgent surgical care. High claim volumes for D1110 (14.5K claims), D2392 (6.3K claims), D7140 (7.6K claims), and D7210 (4.7K claims) show the clinic performs large numbers of cleanings, posterior composite restorations, and both routine and surgical extractions — consistent with a community health center model managing both routine and problem-driven dental demand.
Preventive and pediatric workflows are prominent: D0120 (19.7K claims, $513.4K), D1206 (14.2K claims, $297.7K), D1110 (14.5K claims, $697.9K), D1120 (6.6K claims, $243.2K), and D1351 (6.7K claims, $161.4K) together reflect heavy investment in periodic exams, topical fluoride, adult and child prophylaxis, and sealants. These volumes indicate the provider delivers sustained preventive care and outreach to pediatric and preventive populations under Medicaid rather than focusing narrowly on high‑fee restorative procedures.
Diagnostic and imaging activity is high relative to state peers, supporting the clinic’s throughput and case complexity: D0220 (11.1K claims, ranks #1 of 63, 100th percentile), D0274 (9.7K claims, ranks #1 of 104, 100th percentile), D0210 (4.3K claims, ranks #2 of 37, 97th percentile), and D0230 (1.8K claims) show heavy radiographic usage consistent with high visit volume and comprehensive exams. These imaging volumes corroborate the large counts for evaluation and preventive codes and suggest robust on‑site diagnostic capacity.
The provider is a major statewide competitor on many high‑volume Medicaid codes: multiple entries rank in the top one or two statewide (for example, D0140 ranks #1 of 68, 100th percentile; D2392 ranks #2 of 59, 98th percentile; D1110 ranks #2 of 150, 99th percentile; D7140 ranks #2 of 45, 98th percentile; D0120 ranks #3 of 156, 99th percentile). In plain terms, the clinic is among Vermont’s highest-volume Medicaid dental providers for core evaluation, preventive, restorative, and extraction services.
Several specific codes are flagged as statistical outliers or notably above typical state volume, reinforcing the provider’s dominant presence for those services. Examples include D1110 marked an "extreme outlier, far above typical state volume," D0140 and D2392 described as "extreme outlier" or "notably above typical state volume," and D0220/D0274 noted at the 100th percentile; these labels indicate volumes well above typical in-state peers rather than isolated billing of unique high-fee items.
The organization has an established operating history in the claims data: its NPI was enumerated on 2007-01-09 (~19 years ago), which, combined with $6.7M in total Medicaid revenue and top ranks on multiple codes, suggests long‑running market presence and capacity to sustain high patient throughput and a broad service mix over time.
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
33 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| D2392 | Post 2 surface resin‑based composite | 6,340 | $130 | $799.1K |
| D1110 | Prophylaxis - adult; cleaning and polishing of the teeth | 14,540 | $50 | $697.9K |
| D7140 | Extraction, erupted tooth or exposed root (elevation and/or forceps removal) | 7,620 | $90 | $678.2K |
| 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… | 4,720 | $140 | $674.8K |
| D0120 | Periodic oral evaluation - established patient | 19,750 | $30 | $513.4K |
| D0140 | Limited oral evaluation – problem focused | 11,460 | $40 | $469.8K |
| D2391 | Resin‑based composite – one surface, posterior | 4,160 | $90 | $361.7K |
| D0274 | N/A | 9,660 | $30 | $299.4K |
| D1206 | Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients | 14,180 | $20 | $297.7K |
| D0150 | Comprehensive oral evaluation – new or established patient | 6,010 | $50 | $294.3K |
Showing 1–10 of 33
How this provider's Medicaid billing volume and revenue compare to other Vermont providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Vermont median
33 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 2 | 20 | 770 | $140 | $185K |
| D2392 | Post 2 surface resin‑based composite | 2 | 60 | 610 | $130 | $155.6K |
| D7140 | Extraction, erupted tooth or exposed root (elevation and/or forceps removal) | 2 | 50 | 400 | $80 | $101.1K |
| D3330 | N/A | 2 | 10 | 120 | $640 | $77.3K |
| D1110 | Prophylaxis - adult; cleaning and polishing of the teeth | 2 | 150 | 540 | $50 | $73.5K |
| D1351 | Sealant - per tooth | 6 | 40 | 480 | $20 | $63.9K |
| D2391 | Resin‑based composite – one surface, posterior | 1 | 50 | 310 | $90 | $62.9K |
| D9230 | N/A | 12 | 20 | 500 | $50 | $59.7K |
| D1120 | Prophylaxis–child | 6 | 110 | 220 | $40 | $59.2K |
| D0120 | Periodic oral evaluation - established patient | 3 | 160 | 720 | $30 | $57.8K |
Showing 1–10 of 33
Other providers in the same ZIP code as The Dental Center At Community Health Center Of Burlington, ranked by combined Medicare and Medicaid revenue.
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