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    OpenPayerNPI Medicare & MedicaidWhite River Dental LLC
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    White River Dental LLC — Billing Profile & Reimbursement Data

    NPI 1194963181 · Columbus, IN · Dental Clinic/Center

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    White River Dental LLC is a dental clinic/center provider located in Columbus, Indiana. This profile covers 0 Medicare and 42 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
    OrganizationWhite River Dental LLC
    Address2459 W Jonathan Moore Pike
    CityColumbus
    StateIN
    ZIP47201
    TaxonomyDental Clinic/Center
    NPI EnumeratedJanuary 28, 2009

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

    Payer SourceTotal Paid
    Medicaid$6.9M
    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.

    42 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D1354N/A32,180$80$2.6M
    D7210Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…6,730$150$1M
    D0210Intraoral - complete series of radiographic images5,170$60$289.3K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)4,010$70$284.8K
    D2392Post 2 surface resin‑based composite4,460$60$258.4K
    D7240N/A890$290$253.7K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth5,520$40$232K
    D2393Resin-based composite, three surfaces, posterior2,600$80$197.8K
    D0140Limited oral evaluation – problem focused5,780$30$190.8K
    D0150Comprehensive oral evaluation – new or established patient5,320$30$175.5K

    Showing 1–10 of 42

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Indiana median

    42 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D2930N/A1231701,180$130$370.2K
    D7240N/A3180530$270$360.3K
    D1354N/A3130700$70$252.9K
    D7210Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…25350410$150$251K
    D1351Sealant - per tooth91450780$20$118.4K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)55540460$70$106.9K
    D9243N/A4470610$60$102.3K
    D3240N/A310250$120$98.5K
    D7250N/A1760130$180$76.9K
    D2392Post 2 surface resin‑based composite43720400$60$76.5K

    Showing 1–10 of 42

    Nearby Providers

    Other providers in the same ZIP code as White River Dental LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Columbus Regional HospitalINGeneral Acute Care Hospital$0$35.3M
    Columbus Regional Health Physicians, LLCINInternal Medicine Physician$0$23.2M
    Adaptive Nursing And Healthcare Services, LLCINHome Health Agency$0$8.6M
    Emergency Physicians Inc Of ColumbusINEmergency Medicine Physician$0$7.5M
    Interim Healthcare Of Se Indiana, Inc.INHome Health Agency$0$7.5M
    Columbus Dental CorpINGeneral Practice Dentistry$0$6.4M
    Columbus Pediatric Dentistry, P.C.INPediatric Dentistry$0$5.3M
    Lynne EckerleINCase Management Agency$0$4.3M
    Steinmetz Pediatric Dentistry, P.C.INPediatric Dentistry$0$3.2M
    Sitaram Dental LLCINDental Clinic/Center$0$2.6M

    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. Indiana Providers
    1 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Indiana Distribution
    White River Dental LLC — 6 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Indiana