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    OpenPayerNPI Medicare & MedicaidGulf Coast Pediatric Dentistry PLLC
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    Gulf Coast Pediatric Dentistry PLLC — Billing Profile & Reimbursement Data

    NPI 1194004994 · Gulfport, MS · Pediatric Dentistry

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    Gulf Coast Pediatric Dentistry PLLC is a pediatric dentistry provider located in Gulfport, Mississippi. This profile covers 0 Medicare and 18 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
    OrganizationGulf Coast Pediatric Dentistry PLLC
    Address15236 Dedeaux Rd
    CityGulfport
    StateMS
    ZIP39503
    TaxonomyPediatric Dentistry
    NPI EnumeratedAugust 10, 2011

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

    Payer SourceTotal Paid
    Medicaid$1.4M
    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.

    18 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D1120Prophylaxis–child15,750$20$299.2K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients11,060$20$243.4K
    D0120Periodic oral evaluation - established patient11,510$20$230.1K
    D2930N/A860$140$123K
    D0150Comprehensive oral evaluation – new or established patient5,690$20$102.4K
    D0272N/A8,190$10$98.3K
    D2392Post 2 surface resin‑based composite830$100$80.1K
    D0140Limited oral evaluation – problem focused2,340$30$63.2K
    D1351Sealant - per tooth3,760$20$56.4K
    D9230N/A2,750$20$41.3K

    Showing 1–10 of 18

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Mississippi median

    18 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D2930N/A851601,130$90$267.6K
    D2392Post 2 surface resin‑based composite113360360$90$112.4K
    D1351Sealant - per tooth67320570$20$96.7K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)169330240$110$91K
    D1120Prophylaxis–child277401,040$20$79.8K
    D3220N/A49100330$60$70.1K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients28580640$20$57.5K
    D2391Resin‑based composite – one surface, posterior102290290$70$57.5K
    D0120Periodic oral evaluation - established patient23540530$20$53.8K
    D0150Comprehensive oral evaluation – new or established patient38700590$30$45.9K

    Showing 1–10 of 18

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Gulf Coast Pediatric Dentistry PLLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Eric HydeMSPediatric Dentistry$0$4.1M

    Nearby Providers

    Other providers in the same ZIP code as Gulf Coast Pediatric Dentistry PLLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Southern Ms Planning And Development DistrictMSCase Management Agency$0$63.1M
    Singing River GulfportMSGeneral Acute Care Hospital$0$24.9M
    Helping Hands LLC (respite Care)MSIn Home Supportive Care Agency$0$10.3M
    Caspoint Care Inc.MSHome Health Agency$0$5.2M
    South Mississippi Smiles Dentistry LLCMSGeneral Practice Dentistry$0$4.8M
    Keystone Medical Services Of Gulfport, Inc.MSEmergency Medicine Physician$0$4.5M
    Kare-in-home Health Services, Inc.MSHome Health Agency$0$2.5M
    Orange Grove Urgent CareMSUrgent Care Clinic/Center$0$2M
    Memorial Hospital At GulfportMSPediatrics Physician$0$1.9M
    Singing River GulfportMSMulti-Specialty Clinic/Center$0$1.7M

    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. Mississippi Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Mississippi Distribution
    Gulf Coast Pediatric Dentistry PLLC — 3 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Mississippi