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    OpenPayerNPI Medicare & MedicaidDanielle Murphy
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    Danielle Murphy — Billing Profile & Reimbursement Data

    NPI 1306053244 · West Warwick, RI · Dentist

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    Danielle Murphy is a dentist provider located in West Warwick, Rhode Island. This profile covers 0 Medicare and 15 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
    OrganizationDanielle Murphy
    Address5 Washington St
    CityWest Warwick
    StateRI
    ZIP02893
    TaxonomyDentist
    NPI EnumeratedMay 17, 2007

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

    Payer SourceTotal Paid
    Medicaid$4.2M
    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.

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1015Clinic visit/encounter, all-inclusive23,380$160$3.7M
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients9,200$20$184K
    D1120Prophylaxis–child6,540$20$143.8K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth17,350$10$86.8K
    D1351Sealant - per tooth5,030$10$55.3K
    D0120Periodic oral evaluation - established patient1,920$1$3.8K
    D0274N/A1,250$1$3.7K
    D0150Comprehensive oral evaluation – new or established patient540$1$2.2K
    D0140Limited oral evaluation – problem focused900$1$900
    D0210Intraoral - complete series of radiographic images300$1$600

    Showing 1–10 of 15

    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

    15 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1015Clinic visit/encounter, all-inclusive12120400$130$896.9K
    D1120Prophylaxis–child17160710$30$91.2K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients14150800$30$81.3K
    D2392Post 2 surface resin‑based composite109110240$60$47.6K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth3180490$20$42.3K
    D1351Sealant - per tooth1090670$20$41.4K
    D0120Periodic oral evaluation - established patient77210930$10$38.1K
    D2391Resin‑based composite – one surface, posterior95110230$40$28.7K
    D0140Limited oral evaluation – problem focused47130410$10$18.3K
    D0274N/A54170390$10$18.1K

    Showing 1–10 of 15

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Thundermist Health CenterRIDental Clinic/Center$0$18.6M
    Thundermist Health CenterRIFederally Qualified Health Center (FQHC)$0$15.8M
    Eric ProssedaRIGeneral Practice Dentistry$0$5.2M
    Maulik KotdawalaRIGeneral Practice Dentistry$0$4.6M
    Beata NelkenRIPediatrics Physician$0$4.2M
    Abhishek KapoorRIDentist$0$2.7M
    Meera SharmaRIGeneral Practice Dentistry$0$1.8M
    Joey NapolitanoRIPublic Health Dentistry$0$1.7M
    Yamila CosRIGeneral Practice Dentistry$0$1.7M
    Laura FlynnRIDentist$0$1.6M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Continuum Care Of Rhode Island, LLCRICommunity Based Hospice Care Agency$0$25.2M
    Spring Villa Inc.RIAssisted Living Facility$0$3.4M
    Discovery House UtahRISubstance Use Disorder Rehabilitation Clinic/Center$0$3.3M
    Meaningful Outcomes LLCRIBehavior Analyst$0$3.2M
    West Warwick Public SchoolsRILocal Education Agency (LEA)$0$1.6M
    Beth ClearyRIPsychiatric/Mental Health Nurse Practitioner$0$1.5M
    Karim KhanbhaiRIPediatrics Physician$0$1.4M
    Town Of West Warwick RiRILand Ambulance$265.6K$883.1K
    Christine ObrienRIDentist$0$673.4K
    Frank LafaziaRIFamily Medicine Physician$34.2K$352.1K

    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
    1 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Rhode Island Distribution
    Danielle Murphy — 1 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Rhode Island