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    OpenPayerNPI Medicare & MedicaidDr David M Vieth PC
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    Dr David M Vieth PC — Billing Profile & Reimbursement Data

    NPI 1346556412 · Takoma Park, MD · General Practice Dentistry

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    Dr David M Vieth PC is a general practice dentistry provider located in Takoma Park, Maryland. This profile covers 0 Medicare and 36 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
    OrganizationDr David M Vieth PC
    Address1147 University Blvd E
    CityTakoma Park
    StateMD
    ZIP20912
    TaxonomyGeneral Practice Dentistry
    NPI EnumeratedAugust 26, 2010

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

    Payer SourceTotal Paid
    Medicaid$45.7M
    Medicare$0

    Key Findings

    This provider reports no Medicare billing on file and $45.7M in lifetime Medicaid revenue, making its outpatient activity effectively a Medicaid-centric operation. NPI enumerated (registered): 2010-08-26 (~16 years ago), indicating roughly 16 years of enrollment during which the Medicaid footprint was established.

    Revenue is concentrated in a small set of dental procedure codes: the top 3 Medicaid codes account for 33.2% of this provider's total Medicaid revenue. Those top contributors are D2392 ($6.7M; 14.8%), D1120 ($4.6M; 10.1%), and D1351 ($3.8M; 8.3%), so a third of revenue is driven by a tight cluster of restorative and preventive codes.

    The code mix indicates a high-volume general dentistry practice with a strong emphasis on pediatric preventive services and posterior composite restorations. High-volume preventive codes include D1120 (107.1K claims) and D1351 (111.2K claims) and topical fluoride codes D1208 (71K claims) and D1206 (64.1K claims), while restorative/composite work is led by D2392, D2391 and D2393, reflecting routine restorative flow alongside preventive programs.

    This provider is a dominant in-state performer for many Medicaid codes: multiple entries rank in the top few statewide positions with 100th-percentile listings and “extreme outlier” labels (for example, D2392 ranks #2 of 665 in-state (100th percentile; extreme outlier) and D1351 ranks #2 of 412 in-state (100th percentile; extreme outlier)). Such rankings characterize the provider as a major/market-leading Medicaid participant for several high-volume dental procedures within the state.

    Claim volumes point to significant clinical throughput: several codes show six-figure claim totals (D1351 111.2K claims, D1120 107.1K claims, D0120 105.9K claims, D0272 70.3K claims), suggesting a large patient volume and operational capacity to deliver frequent preventive and diagnostic services. These counts align with the provider’s outsized state rankings and revenue contributions.

    The provider’s portfolio also includes higher-cost and more complex services alongside preventive care, which diversifies revenue beyond routine visits. Notable examples include D8080 ($2M revenue; $1024 avg paid/claim; ranks #2 of 66 in-state (98th percentile; notably above typical state volume)), D2930 ($2.9M revenue; $158 avg paid/claim; ranks #5 of 140 (97th percentile; notably above typical state volume)), and extractions such as D7140 ($825K revenue; ranks #7 of 392 (98th percentile; extreme outlier)), indicating capability to deliver higher-acuity dental procedures.

    Multiple code-level labels describe this provider as an outlier rather than a typical volume participant: many codes are marked “extreme outlier” or “notably above typical state volume,” which signals both a competitive strength and a revenue concentration exposure. Given that the top 3 codes represent 33.2% of Medicaid revenue, changes in reimbursement or program policy for these specific codes could disproportionately affect overall revenue, while the provider’s strong statewide positions make it a potentially important contracting partner for Medicaid plans.

    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.

    36 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D2392Post 2 surface resin‑based composite54,770$120$6.7M
    D1120Prophylaxis–child107,100$40$4.6M
    D1351Sealant - per tooth111,210$30$3.8M
    D2391Resin‑based composite – one surface, posterior36,590$100$3.5M
    D0120Periodic oral evaluation - established patient105,870$30$3.1M
    D2930N/A18,150$160$2.9M
    D8670N/A37,660$70$2.8M
    D2393Resin-based composite, three surfaces, posterior16,390$160$2.5M
    D8080N/A1,930$1,020$2M
    D1110Prophylaxis - adult; cleaning and polishing of the teeth27,490$60$1.7M

    Showing 1–10 of 36

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Maryland median

    36 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D8080N/A270120$1,040$385.9K
    D2930N/A5140530$160$362K
    D7240N/A970400$280$345.9K
    D8670N/A31501,950$70$335.3K
    D3330N/A4680120$690$254.8K
    D2392Post 2 surface resin‑based composite2670330$120$172.5K
    D1351Sealant - per tooth2410890$30$165.8K
    D1120Prophylaxis–child3820450$40$141.3K
    D2391Resin‑based composite – one surface, posterior2510250$90$106K
    D8660N/A2100250$150$105.3K

    Showing 1–10 of 36

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Dr David M Vieth PC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Seon LeeDCGeneral Practice Dentistry$0$160.1K
    Ahmed TamimDCOral and Maxillofacial Surgery (Dentist)$0$68.3K
    John ChoiDCGeneral Practice Dentistry$0$13.5K

    Nearby Providers

    Other providers in the same ZIP code as Dr David M Vieth PC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Community Clinic, Inc.MDFederally Qualified Health Center (FQHC)$0$64.6M
    Washington Cardiovascular Institute LLCMDCardiovascular Disease Physician$0$17.6M
    Park PediatricsMDPediatrics Physician$0$12.8M
    Washington-mclaughlin Adult Day Care CenterMDAdult Day Care Clinic/Center$0$8.8M
    Advoquate Health Services LLCMDCase Management Agency$0$6.2M
    Milestone Medical Services IncMDClinic/Center$0$6.2M
    Diversity Talks, LLCMDSpeech-Language Pathologist$0$5.5M
    Ja Community Services, LLCMDDevelopmentally Disabled Services Day Training Agency$0$4.8M
    Andrei GurskyMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician$4.7M$0
    Mubashar ChoudryMDCardiovascular Disease Physician$2.2M$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. Maryland Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Maryland Distribution
    Dr David M Vieth PC — 22 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maryland