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    v1.0.28
    OpenPayerNPI Medicare & MedicaidTheodore F Mayerdds PA
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    Theodore F Mayerdds PA — Billing Profile & Reimbursement Data

    NPI 1346493582 · Raleigh, NC · General Practice Dentistry

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    Theodore F Mayerdds PA is a general practice dentistry provider located in Raleigh, North Carolina. This profile covers 0 Medicare and 19 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
    OrganizationTheodore F Mayerdds PA
    Address8100 Harps Mill Rd
    CityRaleigh
    StateNC
    ZIP27615
    TaxonomyGeneral Practice Dentistry
    NPI EnumeratedOctober 31, 2008

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

    Payer SourceTotal Paid
    Medicaid$9.6M
    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.

    19 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D2392Post 2 surface resin‑based composite17,470$100$1.7M
    D1351Sealant - per tooth72,850$20$1.7M
    D2391Resin‑based composite – one surface, posterior19,260$70$1.4M
    D1120Prophylaxis–child50,090$20$1.2M
    D0150Comprehensive oral evaluation – new or established patient24,130$40$965K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients55,050$10$770.7K
    D0120Periodic oral evaluation - established patient31,020$20$713.5K
    D0272N/A26,890$10$376.5K
    D0220Intraoral - periapical first radiographic image20,390$10$285.5K
    D0230Intraoral - periapical each additional radiographic image21,560$10$237.1K

    Showing 1–10 of 19

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. North Carolina median

    19 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D2392Post 2 surface resin‑based composite10940660$100$205.2K
    D0120Periodic oral evaluation - established patient401,4401,210$30$116.6K
    D1120Prophylaxis–child171,140780$30$116.3K
    D2391Resin‑based composite – one surface, posterior6790410$80$114.6K
    D1351Sealant - per tooth3540980$30$114.4K
    D2393Resin-based composite, three surfaces, posterior171530200$120$91.8K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)397610360$60$85.9K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth2311,280890$40$78.6K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients181,250760$20$60K
    D0150Comprehensive oral evaluation – new or established patient31,310490$40$55.8K

    Showing 1–10 of 19

    Nearby Providers

    Other providers in the same ZIP code as Theodore F Mayerdds PA, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Maxim Healthcare Services, Inc.NCHome Health Agency$0$56.6M
    Active Healthcare, Inc.NCDurable Medical Equipment & Medical Supplies$0$41.3M
    The Full Coverage Pdn CompanyNCNursing Care Agency$0$41.2M
    Pediatric Services Of America, LLCNCNursing Care Agency$0$32.4M
    Key Autism Services Nc, LLCNCCommunity/Behavioral Health Agency$0$28.2M
    Fernandez Community Center, LLCNCCommunity/Behavioral Health Agency$0$12.1M
    Raleigh Pediatric Associates, PANCPediatrics Physician$0$7.8M
    Morse Clinic Of North Raleigh, PCNCMethadone Clinic$92.3K$6.4M
    Raleigh Nc Endoscopy Asc LLCNCAmbulatory Surgical Clinic/Center$543.1K$0
    Kathryn SaboNCFamily Nurse Practitioner$304.5K$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. North Carolina Providers
    2 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. North Carolina Distribution
    Theodore F Mayerdds PA — 11 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina