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    v1.0.28
    OpenPayerNPI Medicare & MedicaidTarcisio Amaya Gutierrez
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    Tarcisio Amaya Gutierrez — Billing Profile & Reimbursement Data

    NPI 1235782095 · Washington, DC · General Practice Dentistry

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    Tarcisio Amaya Gutierrez is a general practice dentistry provider located in Washington, District of Columbia. This profile covers 0 Medicare and 8 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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    Progress1 / 8

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationTarcisio Amaya Gutierrez
    Address2333 Ontario Rd Nw
    CityWashington
    StateDC
    ZIP20009
    TaxonomyGeneral Practice Dentistry
    NPI EnumeratedJuly 22, 2019

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

    Payer SourceTotal Paid
    Medicaid$10.8K
    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.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D0120Periodic oral evaluation - established patient190$20$4.3K
    D1120Prophylaxis–child70$30$2K
    D1208Topical application of fluoride - excluding varnish120$20$2K
    D0274N/A60$30$1.7K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth10$60$660
    D0220Intraoral - periapical first radiographic image10$10$170
    D0999N/A70$0$0
    D2999N/A20$0$0

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. District of Columbia median

    8 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D0999N/A2540100$60$157.7K
    D1120Prophylaxis–child69110150$40$90.4K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth152160330$60$89.6K
    D0120Periodic oral evaluation - established patient109180320$30$63.7K
    D0274N/A96140150$40$42.5K
    D1208Topical application of fluoride - excluding varnish86150210$20$40.3K
    D0220Intraoral - periapical first radiographic image150150310$10$23.7K
    D2999N/A1820350$0$0

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Total Health Care IncMDFederally Qualified Health Center (FQHC)$0$67.6M
    Mary's Center For Maternal And Child Care, IncDCFederally Qualified Health Center (FQHC)$0$56.6M
    Marys Center For Maternal And Child Care IncDCFederally Qualified Health Center (FQHC)$0$12.4M
    R3 Dental Group LLCMDGeneral Practice Dentistry$0$8.2M
    Mary's Center For Maternal And Child Care, IncDCFederally Qualified Health Center (FQHC)$0$7.2M
    S K Pesis Dds, Big Smiles Maryland, PCMDDentist$0$6.9M
    R3 Dental Group LLCMDGeneral Practice Dentistry$0$6.4M
    Mary's Center For Maternal And Child CareDCDental Clinic/Center$0$6.3M
    Siamak MajidiDCPediatric Dentistry$0$618.1K
    Mary's Center For Maternal & Child Care, IncDCSpecialist$0$167.1K

    Nearby Providers

    Other providers in the same ZIP code as Tarcisio Amaya Gutierrez, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Unity Health Care, Inc.DCFederally Qualified Health Center (FQHC)$0$48M
    Community Of Hope, IncDCFederally Qualified Health Center (FQHC)$0$3.6M
    La Clinica Del Pueblo, Inc.DCFederally Qualified Health Center (FQHC)$0$2.7M
    Core Dc LLCDCCase Management Agency$0$2.6M
    Unity Health Care, IncDCFederally Qualified Health Center (FQHC)$0$2.3M
    Sharmin Dental Clinic, P.C.DCOrthodontics and Dentofacial Orthopedics Dentistry$0$1.8M
    Nuvaya, IncDCSubstance Abuse Rehabilitation Facility$0$1.6M
    Samuel AntwiDCFamily Nurse Practitioner$16K$1.5M
    Lenox Medical Supply Services, LLCDCDurable Medical Equipment & Medical Supplies$0$1M
    Unity Health Care, IncDCFederally Qualified Health Center (FQHC)$0$834.7K

    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. District of Columbia Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. District of Columbia Distribution
    Tarcisio Amaya Gutierrez — 0 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — District of Columbia