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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMary's Center For Maternal And Child Care
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    Mary's Center For Maternal And Child Care — Billing Profile & Reimbursement Data

    NPI 1053522060 · Washington, DC · Dental Clinic/Center

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    Mary's Center For Maternal And Child Care is a dental clinic/center provider located in Washington, District of Columbia. This profile covers 0 Medicare and 20 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 TypeOrganization
    OrganizationMary's Center For Maternal And Child Care
    Address3912 Georgia Ave Nw
    CityWashington
    StateDC
    ZIP20011
    TaxonomyDental Clinic/Center
    NPI EnumeratedMay 24, 2007

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

    Payer SourceTotal Paid
    Medicaid$6.3M
    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.

    20 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D0999N/A28,720$220$6.3M
    D1208Topical application of fluoride - excluding varnish3,840$1$7.7K
    D0120Periodic oral evaluation - established patient7,360$1$7.4K
    D1120Prophylaxis–child3,360$1$3.4K
    D0140Limited oral evaluation – problem focused10$0$0
    D0145N/A390$0$0
    D0150Comprehensive oral evaluation – new or established patient1,910$0$0
    D0220Intraoral - periapical first radiographic image1,680$0$0
    D0230Intraoral - periapical each additional radiographic image1,050$0$0
    D0272N/A210$0$0

    Showing 1–10 of 20

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. District of Columbia median

    20 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D0999N/A140100$60$157.7K
    D2392Post 2 surface resin‑based composite1680230$120$148.6K
    D1120Prophylaxis–child14110150$40$90.4K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth38160330$60$89.6K
    D1351Sealant - per tooth1530390$40$87.3K
    D2391Resin‑based composite – one surface, posterior1160200$90$86.2K
    D2393Resin-based composite, three surfaces, posterior3140150$140$79.1K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients770180$30$66.9K
    D0120Periodic oral evaluation - established patient18180320$30$63.7K
    D0272N/A3160220$30$61.1K

    Showing 1–10 of 20

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Mary's Center For Maternal And Child Care, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Total Health Care IncMDFederally Qualified Health Center (FQHC)$0$67.6M
    Mary's Center For Maternal And Child Care, IncDCFederally Qualified Health Center (FQHC)$0$56.6M
    Marys Center For Maternal And Child Care IncDCFederally Qualified Health Center (FQHC)$0$12.4M
    Mary's Center For Maternal And Child Care, IncDCFederally Qualified Health Center (FQHC)$0$7.2M
    Mary's Center For Maternal & Child Care, IncDCSpecialist$0$167.1K
    Derejew TessemaDCDentist$0$66.6K
    Mary's Center For Maternal & Child CareDCFederally Qualified Health Center (FQHC)$0$37K
    Usman AhmadDCDentist$0$14.5K
    Brooke SpencerDCFamily Nurse Practitioner$12K$0
    Tarcisio Amaya GutierrezDCGeneral Practice Dentistry$0$10.8K

    Nearby Providers

    Other providers in the same ZIP code as Mary's Center For Maternal And Child Care, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Integrated Community Services, Inc.DCHome Health Agency$0$145.9M
    National Children's Center, Inc.DCIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$101M
    Capital Care, IncDCHome Health Agency$0$83.4M
    Aba IncDCIn Home Supportive Care Agency$0$80.8M
    Premium Select Home Care IncDCHome Health Agency$0$63.9M
    Ideal Nursing Services IncDCHome Health Agency$0$58M
    Total Care Services, Inc.DCDevelopmentally Disabled Services Day Training Agency$0$54.7M
    Metro Homes IncDCDevelopmental Disabilities Clinic/Center$0$45.1M
    Citycare Health Services, IncDCCommunity/Behavioral Health Agency$0$36.4M
    Janilcar IncDCDurable Medical Equipment & Medical Supplies$0$32.7M

    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. District of Columbia Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. District of Columbia Distribution
    Mary's Center For Maternal And Child Care — 1 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — District of Columbia