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    OpenPayerNPI Medicare & MedicaidChildren's Dental Center Of West Tennessee
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    Children's Dental Center Of West Tennessee — Billing Profile & Reimbursement Data

    NPI 1154350874 · Collierville, TN · Pediatric Dentistry

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    Children's Dental Center Of West Tennessee is a pediatric dentistry provider located in Collierville, Tennessee. This profile covers 0 Medicare and 35 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
    OrganizationChildren's Dental Center Of West Tennessee
    Address2028 W Poplar Ave
    CityCollierville
    StateTN
    ZIP38017
    TaxonomyPediatric Dentistry
    NPI EnumeratedJuly 3, 2006

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

    Payer SourceTotal Paid
    Medicaid$21.3M
    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.

    35 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D2930N/A25,490$110$2.8M
    D1120Prophylaxis–child82,700$30$2.6M
    D0120Periodic oral evaluation - established patient92,670$20$2.1M
    D2392Post 2 surface resin‑based composite26,930$70$1.9M
    D2391Resin‑based composite – one surface, posterior26,040$60$1.5M
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients60,330$20$1.2M
    D1110Prophylaxis - adult; cleaning and polishing of the teeth27,560$40$1.1M
    D1208Topical application of fluoride - excluding varnish48,510$20$921.7K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)15,790$60$899.8K
    D9230N/A26,560$30$743.5K

    Showing 1–10 of 35

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Tennessee median

    35 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D2930N/A5160770$110$399.1K
    D3330N/A596090$560$184K
    D3220N/A13110610$80$167.4K
    D1120Prophylaxis–child4660720$30$135.9K
    D2932N/A110910$140$126.7K
    D2750Crown - porcelain fused to high noble metal810140$420$126.5K
    D9248N/A290450$80$116.4K
    D2392Post 2 surface resin‑based composite2470450$70$107K
    D0120Periodic oral evaluation - established patient3720980$20$106.4K
    D2929N/A120260$110$92.7K

    Showing 1–10 of 35

    Nearby Providers

    Other providers in the same ZIP code as Children's Dental Center Of West Tennessee, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    No Place Like Home, Inc.TNHome Health Agency$0$3.8M
    Collierville Pediatrics, LLCTNPediatrics Physician$0$3.1M
    Tn Doctors Of Optometry, PLLCTNOptometrist$0$2.3M
    Corp. Of ColliervilleTNLand Ambulance$472.5K$129.1K
    Ara HanissianTNAdolescent Medicine (Internal Medicine) Physician$548.3K$0
    Robert BoboTNOrthopaedic Surgery Physician$444.8K$0
    Joan AllmonTNInternal Medicine Physician$433.2K$0
    Edward MuirTNHematology & Oncology Physician$392.8K$0
    Tyler BrolinTNOrthopaedic Surgery Physician$302.5K$0
    Laura LendermonTNSports Medicine (Family Medicine) Physician$284.9K$0

    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. Tennessee Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Tennessee Distribution
    Children's Dental Center Of West Tennessee — 22 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee