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    OpenPayerNPI Medicare & MedicaidWhitney Road Dental Health Center, P.C.
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    Whitney Road Dental Health Center, P.C. — Billing Profile & Reimbursement Data

    NPI 1154720209 · Spartanburg, SC · General Practice Dentistry

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    Whitney Road Dental Health Center, P.C. is a general practice dentistry provider located in Spartanburg, South Carolina. This profile covers 0 Medicare and 24 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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    Progress1 / 7

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationWhitney Road Dental Health Center, P.C.
    Address371 Whitney Rd
    CitySpartanburg
    StateSC
    ZIP29303
    TaxonomyGeneral Practice Dentistry
    NPI EnumeratedAugust 14, 2014

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

    Payer SourceTotal Paid
    Medicaid$6.3M
    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.

    24 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D1110Prophylaxis - adult; cleaning and polishing of the teeth13,930$50$696.6K
    D2392Post 2 surface resin‑based composite6,320$100$651.4K
    D1120Prophylaxis–child18,600$40$650.9K
    D2391Resin‑based composite – one surface, posterior7,470$80$612.5K
    D0120Periodic oral evaluation - established patient22,700$20$522.2K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients32,190$20$515K
    D0274N/A14,220$30$383.9K
    D9230N/A11,550$30$381K
    D0150Comprehensive oral evaluation – new or established patient8,010$40$328.4K
    D0330N/A5,990$50$293.3K

    Showing 1–10 of 24

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. South Carolina median

    24 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D2930N/A491301,060$150$371.1K
    D2392Post 2 surface resin‑based composite14350520$100$175.3K
    D1120Prophylaxis–child25470600$30$156.7K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)145290380$90$125K
    D9230N/A132101,150$30$115.5K
    D2391Resin‑based composite – one surface, posterior8300270$80$110.5K
    D1351Sealant - per tooth20200840$30$108.9K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth12590850$50$104.9K
    D0120Periodic oral evaluation - established patient196101,060$20$100K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients13410670$20$95.1K

    Showing 1–10 of 24

    Nearby Providers

    Other providers in the same ZIP code as Whitney Road Dental Health Center, P.C., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Spartanburg Medical CenterSCGeneral Acute Care Hospital$0$187.7M
    Axcess Healthcare Services, LLCSCNursing Care Agency$0$98.5M
    South Carolina Dept Of Mental Health Accounting OfficeSCMental Health Clinic/Center (Including Community Mental Health Center)$0$40M
    Spartanburg Medical CenterSCEmergency Medicine Physician$0$17.2M
    Spartanburg Medical CenterSCFamily Medicine Physician$0$17M
    Spartanburg Medical CenterSCMaternal & Fetal Medicine Physician$0$11.5M
    Better Beginnings, IncSCPediatric Occupational Therapist$0$6.9M
    Foothills Pediatric Dentistry, PASCPediatric Dentistry$0$4.9M
    Bhg Xxxviii, LLCSCSubstance Use Disorder Rehabilitation Clinic/Center$264.8K$3.5M
    Upstate Carolina Radiology PASCDiagnostic Radiology Physician$0$3.2M

    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. South Carolina Providers
    2 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. South Carolina Distribution
    Whitney Road Dental Health Center, P.C. — 8 of 24 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina