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    OpenPayerNPI Medicare & MedicaidMatthew Hillis
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    Matthew Hillis — Billing Profile & Reimbursement Data

    NPI 1326328527 · Apo, AE · Dentist

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    Matthew Hillis is a dentist provider located in Apo, Armed Forces Europe. This profile covers 0 Medicare and 9 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services. Note: "AE" is a US military postal designation for Armed Forces stationed in Europe, the Middle East, Africa, or Canada — 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
    OrganizationMatthew Hillis
    AddressLandstuhl Dental Activity
    CityApo
    StateAE (Armed Forces Europe)
    ZIP09180
    TaxonomyDentist
    NPI EnumeratedAugust 19, 2011

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

    Payer SourceTotal Paid
    Medicaid$8.9K
    Medicare$0

    Key Findings

    This provider has no Medicare billing on file and reports total Medicaid revenue of $8.9K, making their observed payer footprint effectively single‑payer Medicaid in the available data. The absence of Medicare activity means comparisons or conclusions about national Medicare competitiveness cannot be drawn from this profile, and all revenue-focused observations below pertain solely to Medicaid billing.

    Revenue is highly concentrated: the precomputed top three Medicaid codes account for 61.7% of the provider's total Medicaid revenue. The top three contributors are D2392 ($2.5K, 28.1% of total Medicaid revenue), D1206 ($1.8K, 19.8%), and D9230 ($1.2K, 13.7%), indicating a small set of codes drives most of the observable Medicaid dollars.

    The code mix indicates a traditional dental practice oriented around restorative and preventive services: D2392 (Post 2 surface resin‑based composite) is the single largest revenue driver, complemented by preventive/therapeutic fluoride D1206 and routine evaluations D0150. The presence of both D1110 (adult prophylaxis) and D1120 (child prophylaxis) alongside D1206 suggests the provider bills for both adult and pediatric preventive care, while restorative work is a major revenue element.

    Competitive standing is mixed at the state level: the provider ranks #1 of 1 for D2392 but with a note of 0th percentile and "no state peer volume comparison available," implying very limited peer reporting for that code in-state. For D9230 and D0150 the provider ranks #1 of 2 in-state and those codes are described as "100th percentile; typical, unremarkable volume for this code," so where peers exist the provider appears among the top reporters but within small peer sets and characterized as typical rather than anomalously high volume.

    Claims counts and payment levels show modest episode sizes: D1206 has the highest claim volume at 80 claims with an average paid/claim of $22, while D2392 shows 39 claims at $64 avg paid/claim and D9230 shows 42 claims at $29 avg paid/claim. These claim-level details underscore that the provider’s Medicaid revenue is driven by moderate volumes of low‑to‑mid dollar dental procedures rather than a small number of very high‑value events.

    Several billed codes in the dataset have "no description available" (notably D9230, D0330, and D0274 as presented), which limits precise clinical interpretation of those line items from the billing file alone; where descriptions are available they point to routine dental diagnostics, preventive care, and restorative procedures. Analysts should treat those unspecified codes as additional service areas but recognize the dataset does not provide clinical granularity for those items.

    The provider’s NPI was enumerated on 2011-08-19 (~15 years ago), indicating a long-standing enrollment in the NPI registry. Coupled with the small absolute Medicaid revenue ($8.9K) and concentrated code mix, this suggests a stable but limited Medicaid-facing practice footprint that is focused on a narrow set of dental services rather than a broad, high-volume Medicaid provider network presence.

    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.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D2392Post 2 surface resin‑based composite40$60$2.5K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients80$20$1.8K
    D9230N/A40$30$1.2K
    D0150Comprehensive oral evaluation – new or established patient40$30$1.1K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth20$40$630
    D0330N/A20$30$540
    D1120Prophylaxis–child10$40$420
    D0120Periodic oral evaluation - established patient20$20$360
    D0274N/A20$20$320

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Armed Forces Europe providers billing the same CPT/HCPCS codes. Note: "AE" is a US military postal designation for Armed Forces stationed in Europe, the Middle East, Africa, or Canada — 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 Europe median

    9 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D0120Periodic oral evaluation - established patient210320$40$13.7K
    D1120Prophylaxis–child210330$40$12.8K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients210390$30$11.2K
    D2392Post 2 surface resin‑based composite11040$60$2.5K
    D9230N/A11040$30$900
    D0150Comprehensive oral evaluation – new or established patient11030$30$720
    D1110Prophylaxis - adult; cleaning and polishing of the teeth11020$40$630
    D0330N/A11020$30$540
    D0274N/A11020$20$320

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jude MomoduAE (Armed Forces Europe)Family Medicine Physician$42.8K$86.6K
    Matthew BriceAE (Armed Forces Europe)Emergency Medicine Physician$60.1K$0
    Steve LouvetAE (Armed Forces Europe)Emergency Medicine Physician$11.6K$40.3K
    Katherine CooperAE (Armed Forces Europe)Occupational Therapist$48.9K$0
    Eric DahlAE (Armed Forces Europe)General Practice Physician$44.8K$0
    Michael SanzariAE (Armed Forces Europe)Orthodontics and Dentofacial Orthopedics Dentistry$0$43.9K
    Washeema JonesAE (Armed Forces Europe)Acute Care Nurse Practitioner$29.6K$0
    Gregory PhillipsAE (Armed Forces Europe)Neurology Physician$22.7K$0
    Nicole FeeAE (Armed Forces Europe)Optometrist$15.4K$3.5K
    Carlina MadelaireAE (Armed Forces Europe)Anatomic Pathology & Clinical Pathology Physician$12.6K$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. Armed Forces Europe Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Armed Forces Europe Distribution
    Matthew Hillis — 2 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Armed Forces Europe