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    OpenPayerNPI Medicare & MedicaidTwo Notch Road Dental Health Center
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    Two Notch Road Dental Health Center — Billing Profile & Reimbursement Data

    NPI 1215346630 · Columbia, SC · General Practice Dentistry

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    Two Notch Road Dental Health Center is a general practice dentistry provider located in Columbia, South Carolina. This profile covers 0 Medicare and 25 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
    OrganizationTwo Notch Road Dental Health Center
    Address3014 Two Notch Rd
    CityColumbia
    StateSC
    ZIP29204
    TaxonomyGeneral Practice Dentistry
    NPI EnumeratedAugust 11, 2014

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

    Payer SourceTotal Paid
    Medicaid$5.7M
    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.

    25 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D2392Post 2 surface resin‑based composite7,880$100$811.7K
    D1120Prophylaxis–child18,400$40$644K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth12,640$50$632.2K
    D0120Periodic oral evaluation - established patient22,500$20$517.4K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients31,020$20$496.3K
    D2391Resin‑based composite – one surface, posterior4,810$80$389.9K
    D0274N/A12,900$30$348.2K
    D0150Comprehensive oral evaluation – new or established patient6,400$40$262.4K
    D0330N/A5,320$50$255.5K
    D9230N/A7,290$30$240.6K

    Showing 1–10 of 25

    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

    25 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D2930N/A671301,060$150$371.1K
    D2392Post 2 surface resin‑based composite12350520$100$175.3K
    D1120Prophylaxis–child26470600$30$156.7K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)180290380$90$125K
    D9230N/A282101,150$30$115.5K
    D2391Resin‑based composite – one surface, posterior19300270$80$110.5K
    D1351Sealant - per tooth32200840$30$108.9K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth13590850$50$104.9K
    D0120Periodic oral evaluation - established patient206101,060$20$100K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients15410670$20$95.1K

    Showing 1–10 of 25

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Eau Claire Cooperative Health Center, Inc.SCFederally Qualified Health Center (FQHC)$0$84.5M
    South Carolina Mentor, Inc.SCMental Illness Community Based Residential Treatment Facility$0$54.8M
    County Council For Richland CountySCAmbulance$4M$12.4M
    Providence Hospital, LLCSCGeneral Acute Care Hospital$0$12.7M
    Family Preservation Community ServicesSCCommunity/Behavioral Health Agency$0$11.1M
    Pediatric Associates, P.A.SCPreferred Provider Organization$0$7.6M
    She's Counseling Trichology & Consulting LLCSCProfessional Counselor$0$5.4M
    Guardian Angel Home Care Services,llcSCHome Health Agency$0$5.3M
    All Medical IncSCDurable Medical Equipment & Medical Supplies$0$5M
    South Carolina Public Charter School DistrictSCLocal Education Agency (LEA)$0$4.9M

    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
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. South Carolina Distribution
    Two Notch Road Dental Health Center — 7 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina