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    OpenPayerNPI Medicare & MedicaidChildrens Dentistry Of Wichita
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    Childrens Dentistry Of Wichita — Billing Profile & Reimbursement Data

    NPI 1295071231 · Wichita, KS · Pediatric Dentistry

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    Childrens Dentistry Of Wichita is a pediatric dentistry provider located in Wichita, Kansas. This profile covers 0 Medicare and 39 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
    OrganizationChildrens Dentistry Of Wichita
    Address2143 N Collective Ln
    CityWichita
    StateKS
    ZIP67206
    TaxonomyPediatric Dentistry
    NPI EnumeratedDecember 19, 2012

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

    Payer SourceTotal Paid
    Medicaid$32.8M
    Medicare$0

    Key Findings

    CHILDRENS DENTISTRY OF WICHITA is effectively a single-payer Medicaid dental provider: there is no Medicare billing on file and lifetime Medicaid revenue is $32.8M. The absence of Medicare activity alongside a large Medicaid revenue footprint indicates the practice operates almost exclusively within the pediatric Medicaid population.

    Revenue concentration is high: the precomputed top 3 Medicaid codes by revenue account for 38.9% of this provider's total Medicaid revenue, driven primarily by D1351 ($7.3M, 22.7%), D2930 ($2.8M, 8.6%), and D1120 ($2.4M, 7.6%). This concentration means a relatively small set of codes generates a large share of overall Medicaid dollars.

    Clinical mix points to a pediatric-preventive focus: D1351 (Sealant - per tooth) has 281.9K claims and $7.3M revenue and D1120 (Prophylaxis–child) has 76.3K claims and $2.4M revenue, while D1206 (Topical Fluoride Treatment) shows 130.2K claims and $2.2M revenue. Together, these high-volume preventive codes align with the provider taxonomy of Pediatric Dentistry and indicate routine, high-throughput preventive care as a core service line.

    The practice also delivers substantial restorative and surgical care within Medicaid: high volumes and revenue for D2392 (31.3K claims, $2.4M), D2391 (21.5K claims, $1.5M), D2390 (10.1K claims, $1.4M), and D7140 (22.4K claims, $2M) show a meaningful mix of posterior restorations and extractions in addition to prevention. This mix suggests the operation is equipped to manage both routine pediatric preventive visits and a steady caseload of operative procedures.

    Competitive standing within Kansas is unusually strong: D1351 ranks #1 of 209 providers in-state (100th percentile; extreme outlier) and multiple other high-revenue codes (for example D2392, D2391, D3220) also rank at or near the top of their peer lists (many at 100th percentile; extreme outlier). These rank/percentile indicators signal the provider is a dominant Medicaid dental supplier in the state for several pediatric codes.

    Not all service lines are outliers: while many codes are labeled as extreme outlier in-state, D9223 is ranked #10 of 23 providers (59th percentile) and is described as typical/unremarkable volume. This contrast shows the provider’s dominance is concentrated in pediatric-preventive and common restorative codes rather than across every niche dental service.

    Operational scale is evident from very large claim counts and sustained tenure: the NPI was enumerated 2012-12-19 (~14 years ago) and single-code volumes include 281.9K claims for D1351 and 130.2K claims for D1206, indicating long-standing, high-throughput operations. The combination of long tenure and high claim counts supports a mature, high-volume pediatric Medicaid dental practice model.

    From a business risk and policy perspective, heavy reliance on a few high-volume pediatric Medicaid codes creates sensitivity to changes in reimbursement or coverage for those services; since the top three codes account for 38.9% of Medicaid revenue, policy shifts or utilization changes for D1351, D2930, or D1120 could materially affect revenue. Analysts should monitor state Medicaid fee schedules and utilization controls for these specific codes when assessing financial exposure.

    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.

    39 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D1351Sealant - per tooth281,850$30$7.3M
    D2930N/A23,810$120$2.8M
    D1120Prophylaxis–child76,330$30$2.4M
    D2392Post 2 surface resin‑based composite31,290$80$2.4M
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients130,250$20$2.2M
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)22,440$90$2M
    D0120Periodic oral evaluation - established patient82,060$20$1.8M
    D2391Resin‑based composite – one surface, posterior21,540$70$1.5M
    D2390N/A10,090$140$1.4M
    D1110Prophylaxis - adult; cleaning and polishing of the teeth26,540$40$1.1M

    Showing 1–10 of 39

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Kansas median

    39 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D2930N/A2601,370$120$359.9K
    D9223N/A1020550$80$223.7K
    D2390N/A110170$140$221.7K
    D9222N/A1120270$160$211K
    D1351Sealant - per tooth12101,490$20$189.4K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients2320590$30$120.1K
    D1120Prophylaxis–child2360540$40$108.9K
    D2392Post 2 surface resin‑based composite1190330$80$107.8K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)1130340$80$107.5K
    D3220N/A130540$60$96.1K

    Showing 1–10 of 39

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Childrens Dentistry Of Wichita, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    David BrownKSPediatric Dentistry$0$2M

    Nearby Providers

    Other providers in the same ZIP code as Childrens Dentistry Of Wichita, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Trust Homecare, LLCKSHome Health Agency$0$28.4M
    Good Shepherd Hospice Wichita LLCKSCommunity Based Hospice Care Agency$0$17.7M
    Grene Vision Group LLCKSOphthalmology Physician$0$6.3M
    Anthem Wichita Management, LLCKSAlzheimer Center (Dementia Center)$0$4.3M
    Justin GoodenKSUndersea and Hyperbaric Medicine (Preventive Medicine) Physician$4.3M$0
    Timothy ShaverKSRheumatology Physician$3M$0
    Jonas LichtyKSOral and Maxillofacial Surgery (Dentist)$2.6K$2.9M
    Homestead Of Crestview Operations LLCKSAssisted Living Facility$0$2.8M
    Kansas Kids Heart Center, PAKSPediatric Cardiology Physician$0$2.7M
    Remy BlanchaertKSOral and Maxillofacial Surgery (Dentist)$4.1K$2.4M

    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. Kansas Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Kansas Distribution
    Childrens Dentistry Of Wichita — 24 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kansas