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    OpenPayerNPI Medicare & MedicaidJust Kids Pediatric Dentistry, Plc
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    Just Kids Pediatric Dentistry, Plc — Billing Profile & Reimbursement Data

    NPI 1386016970 · Norwich, VT · Pediatric Dentistry

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    Just Kids Pediatric Dentistry, Plc is a pediatric dentistry provider located in Norwich, Vermont. 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
    OrganizationJust Kids Pediatric Dentistry, Plc
    Address303 Route 5 S
    CityNorwich
    StateVT
    ZIP05055
    TaxonomyPediatric Dentistry
    NPI EnumeratedOctober 22, 2015

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

    Payer SourceTotal Paid
    Medicaid$1.5M
    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
    D0120Periodic oral evaluation - established patient11,310$30$316.8K
    D1120Prophylaxis–child8,080$40$299.1K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients11,510$20$230.1K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth2,130$50$114.8K
    D1351Sealant - per tooth3,280$30$105K
    D9230N/A1,940$50$102.8K
    D0272N/A3,200$30$80K
    D4346N/A780$70$57K
    D2392Post 2 surface resin‑based composite370$120$44K
    D0274N/A1,000$40$35.8K

    Showing 1–10 of 19

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Vermont median

    19 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D2392Post 2 surface resin‑based composite3760610$130$155.6K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)3950400$80$101.1K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth27150540$50$73.5K
    D1351Sealant - per tooth1040480$20$63.9K
    D2391Resin‑based composite – one surface, posterior4150310$90$62.9K
    D9230N/A420500$50$59.7K
    D1120Prophylaxis–child5110220$40$59.2K
    D0120Periodic oral evaluation - established patient6160720$30$57.8K
    D4346N/A520260$70$54.6K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients8120500$20$53.5K

    Showing 1–10 of 19

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Just Kids Pediatric Dentistry, Plc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mary Hitchcock Memorial HospitalNHGeneral Acute Care Hospital$0$32.3M
    Dartmouth-hitchcock ClinicNHInternal Medicine Physician$624.4K$31.4M
    Mary Hitchcock Memorial HospitalNHGeneral Acute Care Hospital$0$3.7M
    Jason ParksVTRadiation Oncology Physician$1.2M$0
    Henry LeeINRadiation Oncology Physician$868.5K$0
    Dartmouth-hitchcock ClinicNHSubstance Use Disorder Rehabilitation Clinic/Center$0$607K
    Matthew LeboeufNHMOHS-Micrographic Surgery Physician$555.8K$0
    Kenneth BrownNHPsychiatry Physician$477.7K$0
    Julius TabeMAFamily Medicine Physician$449.6K$2.5K
    Thomas SrokaORRadiation Oncology Physician$420.2K$0

    Nearby Providers

    Other providers in the same ZIP code as Just Kids Pediatric Dentistry, Plc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Family PlaceVTHome Health Agency$0$4.9M
    Susan TuckerVTPsychiatry Physician$36K$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. Vermont Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Vermont Distribution
    Just Kids Pediatric Dentistry, Plc — 3 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Vermont