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    OpenPayerNPI Medicare & MedicaidThe Indian Springs Dental Clinic, LLC
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    The Indian Springs Dental Clinic, LLC — Billing Profile & Reimbursement Data

    NPI 1144207705 · Kansas City, KS · General Practice Dentistry

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    The Indian Springs Dental Clinic, LLC is a general practice dentistry provider located in Kansas City, Kansas. This profile covers 0 Medicare and 23 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
    OrganizationThe Indian Springs Dental Clinic, LLC
    Address4655 State Ave
    CityKansas City
    StateKS
    ZIP66102
    TaxonomyGeneral Practice Dentistry
    NPI EnumeratedDecember 26, 2005

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

    Payer SourceTotal Paid
    Medicaid$1.9M
    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.

    23 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D1351Sealant - per tooth11,600$20$278.3K
    D1120Prophylaxis–child8,770$30$263K
    D0120Periodic oral evaluation - established patient11,070$20$232.4K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients12,520$20$212.9K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth3,600$40$147.5K
    D2930N/A1,230$120$145.8K
    D0272N/A6,720$20$134.4K
    D2391Resin‑based composite – one surface, posterior1,830$70$126.1K
    D0274N/A3,690$30$107.1K
    D2392Post 2 surface resin‑based composite1,230$70$90.7K

    Showing 1–10 of 23

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Kansas median

    23 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D2930N/A33601,370$120$359.9K
    D1351Sealant - per tooth222101,490$20$189.4K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients19320590$30$120.1K
    D1120Prophylaxis–child20360540$40$108.9K
    D2392Post 2 surface resin‑based composite50190330$80$107.8K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)118130340$80$107.5K
    D2391Resin‑based composite – one surface, posterior26170240$70$81K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth28340380$60$75.7K
    D0120Periodic oral evaluation - established patient19390560$20$68.5K
    D2150Amalgam - two surfaces, primary or permanent1320460$60$62.5K

    Showing 1–10 of 23

    Nearby Providers

    Other providers in the same ZIP code as The Indian Springs Dental Clinic, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Wyandot Center For Community Behavioral Healthcare, Inc.KSCommunity/Behavioral Health Agency$0$39.9M
    Alliance Home Health Care, Inc.KSHome Health Agency$0$32.5M
    Wyandot Center For Community Behavioral Healthcare, Inc.KSCommunity/Behavioral Health Agency$0$31.5M
    Kansas Community Home Healthcare LLCKSHome Health Agency$0$19.6M
    Turner House Clinic IncKSFederally Qualified Health Center (FQHC)$0$17.5M
    47th Street Dental Center, LLCKSGeneral Practice Dentistry$0$9M
    Unidos Personal Care LLCKSHome Health Agency$0$7.3M
    Caring Hearts Nursing Services, IncKSHome Health Agency$0$5.5M
    Usd 500KSLocal Education Agency (LEA)$0$4.8M
    Tower Plaza Dental, P.A.KSGeneral Practice Dentistry$0$3M

    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. Kansas Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Kansas Distribution
    The Indian Springs Dental Clinic, LLC — 1 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kansas