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    OpenPayerNPI Medicare & MedicaidUrgent Dental Center West
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    Urgent Dental Center West — Billing Profile & Reimbursement Data

    NPI 1215309018 · Indianapolis, IN · Dentist

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    Urgent Dental Center West is a dentist provider located in Indianapolis, Indiana. 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
    OrganizationUrgent Dental Center West
    Address4930 Lafayette Rd Ste O
    CityIndianapolis
    StateIN
    ZIP46254
    TaxonomyDentist
    NPI EnumeratedOctober 20, 2015

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

    Payer SourceTotal Paid
    Medicaid$5.4M
    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.

    36 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…6,470$150$957.6K
    D2392Post 2 surface resin‑based composite9,810$70$686.8K
    D2393Resin-based composite, three surfaces, posterior5,120$80$430.2K
    D0210Intraoral - complete series of radiographic images9,050$50$416.2K
    D4346N/A1,570$170$259.1K
    D7250N/A1,300$200$253.3K
    D0150Comprehensive oral evaluation – new or established patient7,370$30$250.5K
    D1351Sealant - per tooth8,550$30$213.8K
    D3330N/A370$550$201.3K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth4,220$40$181.6K

    Showing 1–10 of 36

    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

    36 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D7240N/A4480530$270$360.3K
    D4212N/A1320260$310$265.5K
    D3330N/A730110$510$254.8K
    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…26350410$150$251K
    D1351Sealant - per tooth75450780$20$118.4K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)367540460$70$106.9K
    D7230N/A315090$210$101.3K
    D7250N/A660130$180$76.9K
    D2392Post 2 surface resin‑based composite9720400$60$76.5K
    D3320N/A31050$460$70.6K

    Showing 1–10 of 36

    Nearby Providers

    Other providers in the same ZIP code as Urgent Dental Center West, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Health And Hospital Corporation Of Marion CountyINFederally Qualified Health Center (FQHC)$0$15.6M
    Sara P. Viernes Dds PCINDentist$0$4.5M
    Podiatry Associates Of Indiana PCINFoot & Ankle Surgery Podiatrist$0$4M
    Larris-ify HomecareINHome Health Agency$0$3.3M
    Familia Dental Indianapolis Lafayette, LLCINDental Clinic/Center$0$3.3M
    Shore Behavioral LLCINSubstance Use Disorder Rehabilitation Clinic/Center$0$2.8M
    Srinivas DurshanapalliINDentist$0$2.7M
    Beltway Surgery Centers, LLCINAmbulatory Surgical Clinic/Center$341.8K$0
    Michael LarosaINFamily Medicine Physician$45.1K$117.3K
    Michael MillerINSurgery Physician$122.5K$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. Indiana Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Indiana Distribution
    Urgent Dental Center West — 7 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Indiana