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    v1.0.28
    OpenPayerNPI Medicare & MedicaidDarren Riopelle D.d.s.
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    Darren Riopelle D.d.s. — Billing Profile & Reimbursement Data

    NPI 1326298597 · Grand Haven, MI · Dentist

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    Darren Riopelle D.d.s. is a dentist provider located in Grand Haven, Michigan. This profile covers 0 Medicare and 34 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 / 7

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationDarren Riopelle D.d.s.
    Address1203 S Beechtree St
    CityGrand Haven
    StateMI
    ZIP49417
    TaxonomyDentist
    NPI EnumeratedSeptember 24, 2008

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

    Payer SourceTotal Paid
    Medicaid$7.2M
    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.

    34 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D2392Post 2 surface resin‑based composite7,840$120$933.3K
    D1120Prophylaxis–child22,430$40$897K
    D0120Periodic oral evaluation - established patient21,330$30$661.1K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients24,660$30$641.2K
    D2930N/A2,840$190$544.7K
    D2391Resin‑based composite – one surface, posterior4,320$90$393K
    D0230Intraoral - periapical each additional radiographic image25,600$10$281.6K
    D0210Intraoral - complete series of radiographic images4,170$70$279.1K
    D0220Intraoral - periapical first radiographic image13,780$20$234.3K
    D1351Sealant - per tooth7,570$30$227.1K

    Showing 1–10 of 34

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Michigan median

    34 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D2930N/A39200660$190$434.6K
    D2390N/A2030310$200$179.3K
    D3330N/A85100110$630$176.5K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)143640440$70$174K
    D2392Post 2 surface resin‑based composite331,170260$110$134.9K
    D3220N/A37160230$120$102.7K
    D1351Sealant - per tooth55600420$30$98K
    D2391Resin‑based composite – one surface, posterior51950210$80$83.5K
    D2393Resin-based composite, three surfaces, posterior78540130$120$74.4K
    D1510N/A267070$210$70.6K

    Showing 1–10 of 34

    Nearby Providers

    Other providers in the same ZIP code as Darren Riopelle D.d.s., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Trinity Health Grand Haven HospitalMIGeneral Acute Care Hospital$0$8.3M
    Nicholas BontumasiMIDermatology Physician$82.2K$0
    Cynthia AlexanderMIPsychologist$74.6K$0
    Thaddeus SrutwaMIPhysical Medicine & Rehabilitation Physician$45.9K$0
    Logan WalkerMIInternal Medicine Physician$45.3K$0
    Calvin TebbeMIFamily Medicine Physician$17.2K$0
    Matthew SchoeckMIInternal Medicine Physician$13K$0

    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. Michigan Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Michigan Distribution
    Darren Riopelle D.d.s. — 12 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Michigan