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    v1.0.28
    OpenPayerNPI Medicare & MedicaidBritton Birtcher
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    Britton Birtcher — Billing Profile & Reimbursement Data

    NPI 1316476765 · Apo, AP · Dentist

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    Britton Birtcher is a dentist provider located in Apo, Armed Forces Pacific. This profile covers 0 Medicare and 17 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services. Note: "AP" is a US military postal designation for Armed Forces stationed in the Asia-Pacific region — not a traditional US state; claims coded under it are grouped and benchmarked here the same way a traditional state would be.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationBritton Birtcher
    Address618th Dental Company (area Support)
    CityApo
    StateAP (Armed Forces Pacific)
    ZIP96205
    TaxonomyDentist
    NPI EnumeratedJune 8, 2017

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

    Payer SourceTotal Paid
    Medicaid$285.8K
    Medicare$0

    Key Findings

    This provider is effectively a Medicaid-centric dentist: there is no Medicare billing on file and lifetime Medicaid revenue totals $285.8K, indicating a near-exclusive reliance on Medicaid patient volume for fee-for-service revenue. The absence of Medicare claims suggests limited or no participation in care for the Medicare-aged population or that Medicare services are billed under a different NPI/group.

    Revenue is concentrated in a small set of preventive and restorative pediatric codes: the top three Medicaid codes—D1120 (Prophylaxis–child), D0120 (Periodic oral evaluation - established patient), and D2392 (Post 2 surface resin‑based composite)—account for 48.1% of this provider's total Medicaid revenue. D1120 alone represents $58.8K (20.6%), D0120 $44.4K (15.5%), and D2392 $34.4K (12.0%), indicating that a large share of billing comes from routine cleanings, evaluations, and basic posterior composite restorations.

    The procedural mix points to a pediatric/preventive-focused practice with restorative capability: high volumes of D1120 (child prophylaxis), D0120 (periodic evaluations), and D1206 (Topical Fluoride Treatment at $31.9K, 11.2% of Medicaid revenue) together suggest the provider sees many children and emphasizes preventive visits alongside common restorative work. The presence of sealants (D1351) and multiple topical fluoride codes further supports a practice oriented toward caries prevention in younger patients.

    State-level competitive standing is modest and uneven across codes: the top code D1120 ranks #4 of 5 in-state (25th percentile; typical, unremarkable volume) and D0120 ranks #4 of 6 (40th percentile; typical, unremarkable volume), while restorative code D2392 ranks #3 of 5 (50th percentile; typical, unremarkable volume). A few codes show relatively stronger placement—D0330 (radiographic series) ranks #2 of 6 (80th percentile; typical, unremarkable volume) and D1206 ranks #3 of 6 (60th percentile; typical, unremarkable volume)—but overall the provider appears as a modest participant rather than a dominant statewide player.

    Service-line risk is concentrated: with nearly half of Medicaid revenue tied to three codes (48.1%), changes in reimbursement, utilization, or program eligibility for pediatric prophylaxis, periodic exams, or two-surface posterior composites could meaningfully affect revenue. This concentration suggests limited diversification across higher-value restorative or specialty procedures, increasing sensitivity to policy or payer edits that target preventive visit frequency or composite restoration coverage.

    Operational patterns implied by the claim mix include routine imaging and diagnostic workflows: imaging codes D0272 and D0274 together account for a meaningful share of visits ($25.8K and $21.9K respectively), and intraoral radiographs such as D0220 and D0230 are present in the top codes list, indicating standard chairside imaging accompanies evaluations and restorative episodes. The presence of extraction code D7140 ($9.8K, 3.4% of revenue) shows some minor surgical work is performed but is not a primary revenue driver.

    Data nuance: several codes report typical, unremarkable volume by percentile labels across the list (for example many top codes are described as "typical, unremarkable volume"), and one line item, D9230, shows $0 revenue with a $0 average paid/claim; this suggests zero-dollar line items or non-reimbursed services appear in the claims dataset and should be interpreted as billing artifacts or administrative entries rather than cash-revenue drivers.

    Provider tenure in the Medicare/Medicaid ecosystem is established but not long-tenured: the NPI was enumerated 2017-06-08 (~9 years ago), which indicates roughly nine years of billing presence—long enough to have an operational patient base but not indicative of multi-decade market incumbency.

    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.

    17 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D1120Prophylaxis–child1,440$40$58.8K
    D0120Periodic oral evaluation - established patient1,590$30$44.4K
    D2392Post 2 surface resin‑based composite390$90$34.4K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients1,520$20$31.9K
    D0272N/A920$30$25.8K
    D0274N/A540$40$21.9K
    D0330N/A220$70$16.1K
    D2391Resin‑based composite – one surface, posterior200$70$13.8K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth280$50$13.8K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)120$80$9.8K

    Showing 1–10 of 17

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Armed Forces Pacific providers billing the same CPT/HCPCS codes. Note: "AP" is a US military postal designation for Armed Forces stationed in the Asia-Pacific region — not a traditional US state; claims coded under it are benchmarked here as their own state-equivalent group.

    Full comparison — all codes billed, vs. Armed Forces Pacific median

    17 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D0120Periodic oral evaluation - established patient4101,660$30$52.3K
    D1120Prophylaxis–child4101,740$20$36.8K
    D2392Post 2 surface resin‑based composite310390$60$30.6K
    D1351Sealant - per tooth410520$30$16.5K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth510360$20$13.4K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients3101,080$10$13.3K
    D0274N/A410710$10$12.9K
    D2393Resin-based composite, three surfaces, posterior210150$70$10.5K
    D0272N/A310920$10$8.1K
    D2391Resin‑based composite – one surface, posterior310200$30$7.4K

    Showing 1–10 of 17

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jiyoon KimAP (Armed Forces Pacific)Diagnostic Radiology Physician$191.9K$0
    Adam AshAP (Armed Forces Pacific)Emergency Medicine Physician$104.2K$23.7K
    Jeremy RichAP (Armed Forces Pacific)Otolaryngology Physician$44K$0
    Daniel Martens—Physician Assistant$18.8K$0
    Christopher MetcalfAP (Armed Forces Pacific)Physician Assistant$17.6K$0
    Harry AubinAP (Armed Forces Pacific)Surgery Physician$13K$0
    Beatriz Meza-valenciaAP (Armed Forces Pacific)Pediatrics Physician$0$3K
    Yanghoe KooAP (Armed Forces Pacific)General Practice Dentistry$0$470

    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. Armed Forces Pacific Providers
    1 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Armed Forces Pacific Distribution
    Britton Birtcher — 0 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Armed Forces Pacific