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    OpenPayerNPI Medicare & MedicaidDr. David M. Vieth 2, PC
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    Dr. David M. Vieth 2, PC — Billing Profile & Reimbursement Data

    NPI 1083992754 · Brooklyn, MD · General Practice Dentistry

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    Dr. David M. Vieth 2, PC is a general practice dentistry provider located in Brooklyn, Maryland. This profile covers 0 Medicare and 31 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
    OrganizationDr. David M. Vieth 2, PC
    Address5700 Ritchie Hwy
    CityBrooklyn
    StateMD
    ZIP21225
    TaxonomyGeneral Practice Dentistry
    NPI EnumeratedJuly 29, 2011

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

    Payer SourceTotal Paid
    Medicaid$35.2M
    Medicare$0

    Key Findings

    This profile is effectively single‑payer: the practice has no Medicare billing on file and reports $35.2M in lifetime Medicaid revenue, indicating its revenue stream is concentrated entirely in Medicaid contracts and programs. Analysts should treat Medicare exposure as negligible for this entity and focus payer-risk analysis on Medicaid policy and reimbursement dynamics.

    Revenue concentration is high: the precomputed top three Medicaid codes (D1120, D2930, D2392) together account for 36.0% of the provider's total Medicaid revenue. Individually, D1120 generated $4.7M (13.3%), D2930 produced $4.2M (11.9%), and D2392 contributed $3.8M (10.9%), so a small set of codes disproportionately drives revenue.

    The service mix strongly indicates a high-volume general dentistry practice with a major pediatric and preventive focus. High-revenue and high-claim codes include D1120 (Prophylaxis–child), D1351 (Sealant - per tooth), D1208 (Topical application of fluoride), and diagnostic codes D0120 and D0150, while restorative composites (D2392, D2391) also contribute sizable dollars—together showing routine preventive visits and posterior resin restorations are core service lines.

    Claim volumes are unusually large for several preventive and diagnostic codes, consistent with a high-throughput clinic model: D0120 has 106.4K claims, D1351 has 95.3K claims, and D1208 has 86.4K claims. These absolute claim counts, paired with the ranking information, suggest operational scale that supports very large numbers of routine dental encounters under Medicaid.

    Competitive standing in-state is dominant for many top codes: the provider ranks at or near the top for numerous services (for example, D1120 ranks #2 of 815 providers in-state, 100th percentile; D2930 ranks #2 of 140, 99th percentile; D2392 ranks #3 of 665, 100th percentile). The repeated “extreme outlier” and 100th‑percentile labels indicate this practice is a major statewide player for pediatric prophylaxis, certain restorative procedures, and several preventive diagnostics.

    Not all procedure types are outsized: several higher-cost or specialty procedures show typical or modest participation (for example, D7240 ranks #13 of 73 providers in-state, 83th percentile; D3330 ranks #22 of 82, 74th percentile). This pattern implies the practice concentrates on high-volume preventive and routine restorative care rather than being a top provider of complex or specialty surgical services.

    The provider’s dependence on a narrow set of high-volume Medicaid codes creates both operational specialization and concentration risk. With 36.0% of Medicaid revenue coming from D1120, D2930, and D2392, shifts in Medicaid coverage, rates, or utilization for pediatric prophylaxis, restorative composites, or the unspecified D2930 could materially affect revenue.

    The practice has been enumerated since 2011-07-29 (~15 years ago), indicating a long-standing Medicaid billing presence. Combined with the sustained high claim volumes and top-in-state rankings, this tenure suggests an established operation with billing and care delivery workflows optimized around Medicaid pediatric and general dentistry services.

    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.

    31 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D1120Prophylaxis–child111,300$40$4.7M
    D2930N/A27,430$150$4.2M
    D2392Post 2 surface resin‑based composite32,340$120$3.8M
    D1351Sealant - per tooth95,280$30$3.1M
    D0120Periodic oral evaluation - established patient106,390$30$3.1M
    D2391Resin‑based composite – one surface, posterior31,370$90$2.9M
    D1208Topical application of fluoride - excluding varnish86,350$20$2M
    D0150Comprehensive oral evaluation – new or established patient33,060$50$1.7M
    D1110Prophylaxis - adult; cleaning and polishing of the teeth25,900$60$1.5M
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients50,990$30$1.3M

    Showing 1–10 of 31

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Maryland median

    31 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D2930N/A2140530$160$362K
    D7240N/A1370400$280$345.9K
    D8670N/A1381501,950$70$335.3K
    D3330N/A2280120$690$254.8K
    D2392Post 2 surface resin‑based composite3670330$120$172.5K
    D1351Sealant - per tooth3410890$30$165.8K
    D1120Prophylaxis–child2820450$40$141.3K
    D2934N/A3101,000$170$140.2K
    D2391Resin‑based composite – one surface, posterior3510250$90$106K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)13390250$100$93.2K

    Showing 1–10 of 31

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Dr. David M. Vieth 2, PC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Dr. David M. Vieth 2, P.C.MDGeneral Practice Dentistry$0$77.8M
    Ahmed TamimDCOral and Maxillofacial Surgery (Dentist)$0$68.3K
    John ChoiDCGeneral Practice Dentistry$0$13.5K
    Latoya AmbroseDCGeneral Practice Dentistry$0$12.3K

    Nearby Providers

    Other providers in the same ZIP code as Dr. David M. Vieth 2, PC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Second Chance Behavioral Health Center LLCMDSubstance Abuse Rehabilitation Facility$0$24.5M
    Concerted Care Group Brooklyn LLCMDMethadone Clinic$499.3K$17.1M
    A Caring Hand Medical Adult Day CareMDCustodial Care Facility$0$15.7M
    Nuwave Health ServicesMDSubstance Abuse Rehabilitation Facility$0$11.9M
    Compass Health Services LLCMDCommunity/Behavioral Health Agency$0$8.9M
    Another Caring Hand Medical Adult Day Care, Inc.MDAdult Day Care Clinic/Center$0$8.5M
    Bph, Inc.MDMethadone Clinic$223.9K$8.1M
    Clear Mind HealthMDMental Health Clinic/Center (Including Community Mental Health Center)$0$7.8M
    Rising Above Behavioral Health Services LLCMDSubstance Use Disorder Rehabilitation Clinic/Center$0$7M
    By GraceMDSubstance Use Disorder Rehabilitation Clinic/Center$208.6K$6.8M

    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. Maryland Providers
    2 of 4 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Maryland Distribution
    Dr. David M. Vieth 2, PC — 19 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maryland