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    v1.0.28
    OpenPayerNPI Medicare & MedicaidEric Prosseda
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    Eric Prosseda — Billing Profile & Reimbursement Data

    NPI 1124034228 · Wakefield, RI · General Practice Dentistry

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    Eric Prosseda is a general practice dentistry provider located in Wakefield, Rhode Island. This profile covers 0 Medicare and 26 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
    OrganizationEric Prosseda
    Address1 River St
    CityWakefield
    StateRI
    ZIP02879
    TaxonomyGeneral Practice Dentistry
    NPI EnumeratedJuly 31, 2006

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

    Payer SourceTotal Paid
    Medicaid$5.2M
    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.

    26 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1015Clinic visit/encounter, all-inclusive26,550$160$4.2M
    D1120Prophylaxis–child8,030$30$256.9K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients9,600$30$249.6K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth13,930$10$97.5K
    D1351Sealant - per tooth4,690$20$70.4K
    D0120Periodic oral evaluation - established patient5,890$10$47.1K
    D2392Post 2 surface resin‑based composite970$50$43.5K
    D0274N/A4,740$10$42.6K
    D2391Resin‑based composite – one surface, posterior1,170$30$36.2K
    D0150Comprehensive oral evaluation – new or established patient1,350$20$21.5K

    Showing 1–10 of 26

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Rhode Island median

    26 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1015Clinic visit/encounter, all-inclusive9120400$130$896.9K
    D2332N/A810100$70$124.1K
    D1120Prophylaxis–child14160710$30$91.2K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients13150800$30$81.3K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)58100510$50$65.4K
    D2392Post 2 surface resin‑based composite27110240$60$47.6K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth5180490$20$42.3K
    D1351Sealant - per tooth1390670$20$41.4K
    D0120Periodic oral evaluation - established patient22210930$10$38.1K
    D2391Resin‑based composite – one surface, posterior23110230$40$28.7K

    Showing 1–10 of 26

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Thundermist Health CenterRIDental Clinic/Center$0$18.6M
    Thundermist Health CenterRIFederally Qualified Health Center (FQHC)$0$15.8M
    Maulik KotdawalaRIGeneral Practice Dentistry$0$4.6M
    Danielle MurphyRIDentist$0$4.2M
    Beata NelkenRIPediatrics Physician$0$4.2M
    Abhishek KapoorRIDentist$0$2.7M
    Meera SharmaRIGeneral Practice Dentistry$0$1.8M
    Joey NapolitanoRIPublic Health Dentistry$0$1.7M
    Yamila CosRIGeneral Practice Dentistry$0$1.7M
    Laura FlynnRIDentist$0$1.6M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    South County Hospital Healthcare SystemRIGeneral Acute Care Hospital$0$5.3M
    Elise JarvisRIMental Health Counselor$0$1.7M
    Rhode Island Pet Services, LLCRIMobile Radiology Clinic/Center$773.2K$497.1K
    Catherine DegoodRIAddiction Medicine (Family Medicine) Physician$3.1K$1.1M
    Emergency Physician Associates Of New England PCRIEmergency Medicine Physician$0$1M
    Ira KulmanRIClinical Neuropsychologist$0$1M
    South Kingstown School DepartmentRILocal Education Agency (LEA)$0$814K
    Emily ColyerRIEmergency Medicine Physician$36K$528.6K
    Town Of South KingstownRILand Ambulance$338.7K$217.5K
    James MullaneRIOral and Maxillofacial Surgery (Dentist)$0$547.8K

    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. Rhode Island Providers
    3 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Rhode Island Distribution
    Eric Prosseda — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Rhode Island