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    OpenPayerNPI Medicare & MedicaidMaria Alarcon
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    Maria Alarcon — Billing Profile & Reimbursement Data

    NPI 1427198134 · Richmond, CA · General Practice Dentistry

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    Maria Alarcon is a general practice dentistry provider located in Richmond, California. This profile covers 12 Medicare and 0 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 TypeIndividual
    OrganizationMaria Alarcon
    Address315 40th St
    CityRichmond
    StateCA
    ZIP94805
    TaxonomyGeneral Practice Dentistry
    NPI EnumeratedFebruary 8, 2007

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

    Payer SourceTotal Paid
    Medicare$62K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    21081The provider fabricates a mandibular resection prosthesis by taking an impression, or negative imprint, of the patient's oral cavity. A mandibular resection prosthesis, a prosthetic device, aids in…20$1,430$32.9K
    21082The provider prepares a custom palatal augmentation prosthesis to aid in reshaping of the hard palate, or roof of the mouth. Use of the prosthesis improves tongue and palate contact during speech and…20$1,050$17.8K
    40812The provider excises a lesion or area of damaged or diseased tissue of the mucosa, a membrane lining the anterior most part of the mouth, and the submucosa, the layer beneath the mucosa. This…20$140$3K
    41006In this procedure, the provider makes a deep intraoral incision in the sublingual region, the area under the tongue, to drain the abscess, cyst, or hematoma.20$170$2.7K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…20$50$980
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…10$90$940
    76377In this procedure, the provider performs interpretation and reporting for computed tomograph, magnetic resonance imaging, ultrasound, or other tomographic modality under concurrent supervision with…20$60$890
    12011This CPT code is used for the simple repair of superficial wounds to the face, ears, eyelids, nose, lips, and/or mucous membranes, that are 2.5 cm or less in size.20$60$830
    99211An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.30$20$620
    70100The provider takes plain X–rays of the mandible (the lower jaw bone); he obtains one to three views as needed to diagnose a fracture or other abnormality.20$40$560

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    2108131030$1,290$50.3K
    2108231030$1,150$45.8K
    9921334,38434,66080$70$13.2K
    40812202050$130$10K
    41006111040$150$8.8K
    992125,4867,97030$40$3.4K
    7637738247030$50$3.1K
    992119991,61040$20$2.4K
    12011223020$50$2.4K
    704868661,17020$60$1.9K

    Showing 1–10 of 12

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Vilian KossevCAGeneral Practice Dentistry$194.9K$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.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. California Distribution
    Maria Alarcon — 0 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California