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    OpenPayerNPI Medicare & MedicaidLawrence Pediatric Dentistry LLC
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    Lawrence Pediatric Dentistry LLC — Billing Profile & Reimbursement Data

    NPI 1316287139 · Lawrence, KS · Pediatric Dentistry

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    Lawrence Pediatric Dentistry LLC is a pediatric dentistry provider located in Lawrence, Kansas. This profile covers 0 Medicare and 20 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
    OrganizationLawrence Pediatric Dentistry LLC
    Address346 Maine
    CityLawrence
    StateKS
    ZIP66044
    TaxonomyPediatric Dentistry
    NPI EnumeratedFebruary 15, 2013

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

    Payer SourceTotal Paid
    Medicaid$1.9M
    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.

    20 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D2930N/A2,790$120$345.3K
    D1120Prophylaxis–child9,690$30$319.6K
    D0120Periodic oral evaluation - established patient8,440$20$202.7K
    D1351Sealant - per tooth6,830$30$177.5K
    D0272N/A7,180$20$165K
    D2392Post 2 surface resin‑based composite1,320$80$109.6K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients4,980$20$94.5K
    D1208Topical application of fluoride - excluding varnish4,810$20$91.4K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)970$90$89.7K
    D2391Resin‑based composite – one surface, posterior1,120$80$87.2K

    Showing 1–10 of 20

    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

    20 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D2930N/A19601,370$120$359.9K
    D1351Sealant - per tooth392101,490$20$189.4K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients45320590$30$120.1K
    D1120Prophylaxis–child19360540$40$108.9K
    D2392Post 2 surface resin‑based composite47190330$80$107.8K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)41130340$80$107.5K
    D2391Resin‑based composite – one surface, posterior41170240$70$81K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth240340380$60$75.7K
    D0120Periodic oral evaluation - established patient22390560$20$68.5K
    D0330N/A51240230$50$48.1K

    Showing 1–10 of 20

    Nearby Providers

    Other providers in the same ZIP code as Lawrence Pediatric Dentistry LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bert Nash Community Mental Health Center IncKSCommunity/Behavioral Health Agency$0$28.8M
    Oral Surgery Kansas, LcKSOral and Maxillofacial Surgery (Dentist)$0$19.1M
    Bert Nash Community Mental Health Center IncKSMental Health Clinic/Center (Including Community Mental Health Center)$0$15.7M
    Heartland Medical Clinic, IncKSFederally Qualified Health Center (FQHC)$0$11.4M
    Heartland Medical Clinic, Inc.KSFederally Qualified Health Center (FQHC)$0$8M
    Lawrence Memorial HospitalKSGeneral Acute Care Hospital$0$5.3M
    Pediatric & Adolescent Medicine P.A.KSPediatrics Physician$0$2.4M
    Robert GollierKSDentist$0$1.5M
    Benjamin SlaneKSRadiation Oncology Physician$1.1M$0
    Drs Price Young Odle & Horsch PAKSOptometrist$0$1.1M

    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
    0 of 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Kansas Distribution
    Lawrence Pediatric Dentistry LLC — 1 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kansas