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    v1.0.28
    OpenPayerNPI Medicare & MedicaidJohn Ricci
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    John Ricci — Billing Profile & Reimbursement Data

    NPI 1205053899 · Providence, RI · Dentist

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    John Ricci is a dentist provider located in Providence, Rhode Island. This profile covers 0 Medicare and 30 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 TypeIndividual
    OrganizationJohn Ricci
    Address1252 Smith St
    CityProvidence
    StateRI
    ZIP02908
    TaxonomyDentist
    NPI EnumeratedApril 18, 2007

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

    Payer SourceTotal Paid
    Medicaid$4.3M
    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.

    30 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D5110N/A2,450$480$1.2M
    D5212N/A2,410$380$919.7K
    D5120N/A1,610$470$763.1K
    D5211N/A1,960$360$709.5K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)2,940$70$190.9K
    D0140Limited oral evaluation – problem focused7,300$20$168K
    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…520$130$67.2K
    D0330N/A1,820$40$65.3K
    D9110N/A1,450$40$55.1K
    D5750N/A320$140$45.8K

    Showing 1–10 of 30

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Rhode Island median

    30 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D5110N/A11090$440$170.7K
    D5120N/A11090$450$166.5K
    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…1030350$110$158.2K
    D5212N/A110100$350$142.8K
    D5211N/A11060$340$106K
    D1120Prophylaxis–child160160710$30$91.2K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)11100510$50$65.4K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth81180490$20$42.3K
    D0120Periodic oral evaluation - established patient122210930$10$38.1K
    D1208Topical application of fluoride - excluding varnish42100290$20$32.1K

    Showing 1–10 of 30

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with John Ricci, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Vlad BotezatuRIGeneral Practice Dentistry$0$2.4M
    Dr John Ricci Dmd Dba Charles Street DentalRIGeneral Practice Dentistry$0$1.5M
    Ronit MajumdarRIGeneral Practice Dentistry$0$683K
    Dr John RicciRIGeneral Practice Dentistry$0$577.2K

    Nearby Providers

    Other providers in the same ZIP code as John Ricci, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    A Caring Experience Nursing Services, Inc.RIHome Health Agency$0$78.5M
    Prospect Chartercare Rwmc, LLCRIGeneral Acute Care Hospital$0$57.1M
    Caregiver Homes Of Rhode Island Inc.RICase Management Agency$0$43.4M
    Roger Williams Medical CenterRISurgical Oncology Physician$0$5.4M
    Meals On Wheels Of Ri, Inc.RICase Manager/Care Coordinator$0$4.1M
    Professional Ambulance LLCRIAmbulance$1.7M$1.4M
    University Pathologists, LLCRIAnatomic Pathology Physician$0$2.9M
    Prospect Chartercare Rwmc, LLCRIInternal Medicine Physician$0$2.4M
    Antonio BarajasRIEmergency Medical Services (Emergency Medicine) Physician$0$2.1M
    Nakitta NoelRIEmergency Medicine Physician$32.3K$1.5M

    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. Rhode Island Providers
    2 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Rhode Island Distribution
    John Ricci — 8 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Rhode Island