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    OpenPayerNPI Medicare & MedicaidMy Kidz Dentist, PC
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    My Kidz Dentist, PC — Billing Profile & Reimbursement Data

    NPI 1154598712 · Newnan, GA · Pediatric Dentistry

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    My Kidz Dentist, PC is a pediatric dentistry provider located in Newnan, Georgia. This profile covers 0 Medicare and 36 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
    OrganizationMy Kidz Dentist, PC
    Address1741 Newnan Crossing Blvd E
    CityNewnan
    StateGA
    ZIP30265
    TaxonomyPediatric Dentistry
    NPI EnumeratedMay 13, 2008

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

    Payer SourceTotal Paid
    Medicaid$3.9M
    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.

    36 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D2930N/A3,700$140$499.6K
    D2393Resin-based composite, three surfaces, posterior3,380$90$287.1K
    D3220N/A3,700$80$281.5K
    D1120Prophylaxis–child10,590$30$275.3K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)3,990$60$239.3K
    D0230Intraoral - periapical each additional radiographic image21,750$10$217.5K
    D0120Periodic oral evaluation - established patient9,940$20$188.9K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients11,380$20$182.1K
    D2392Post 2 surface resin‑based composite2,380$70$173.9K
    D0220Intraoral - periapical first radiographic image14,500$10$159.4K

    Showing 1–10 of 36

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Georgia median

    36 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D2930N/A340300$170$529.9K
    D2934N/A210330$140$291.4K
    D2392Post 2 surface resin‑based composite1080270$90$262.3K
    D2391Resin‑based composite – one surface, posterior1060190$80$186.8K
    D1351Sealant - per tooth1370580$30$176.7K
    D3220N/A220140$90$175.7K
    D1120Prophylaxis–child9140620$30$173.7K
    D9410N/A410240$390$140.2K
    D2393Resin-based composite, three surfaces, posterior23060$120$123.5K
    D0120Periodic oral evaluation - established patient10150640$20$117.8K

    Showing 1–10 of 36

    Nearby Providers

    Other providers in the same ZIP code as My Kidz Dentist, PC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Wellstreet Of Georgia PCGAUrgent Care Clinic/Center$0$42.5M
    Adonness BellGAFamily Nurse Practitioner$53.9K$5.6M
    Vasileios AssikisGAHematology & Oncology Physician$3M$0
    Minesh PatelGAHematology & Oncology Physician$2.4M$0
    Oghenerukevwe OdieteGAInterventional Cardiology Physician$1.2M$0
    Southern Bone & Joint Ambulatory Surgical Center, LLCGAAmbulatory Surgical Clinic/Center$1.2M$0
    Center For Pain And Spine, LLCGAAmbulatory Surgical Clinic/Center$827.2K$0
    Derek ScottGAPhysical Medicine & Rehabilitation Physician$593.9K$0
    James SmithGAPhysician Assistant$576.9K$0
    Ayesha FaruqiGAInternal Medicine Physician$262.5K$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. Georgia Providers
    2 of 3 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Georgia Distribution
    My Kidz Dentist, PC — 4 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Georgia