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    OpenPayerNPI Medicare & MedicaidBlacks Fork Dental, PC
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    Blacks Fork Dental, PC — Billing Profile & Reimbursement Data

    NPI 1508322603 · Mt View, WY · Dental Clinic/Center

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    Blacks Fork Dental, PC is a dental clinic/center provider located in Mt View, Wyoming. This profile covers 0 Medicare and 10 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
    OrganizationBlacks Fork Dental, PC
    Address650 Parkway Dr
    CityMt View
    StateWY
    ZIP82939
    TaxonomyDental Clinic/Center
    NPI EnumeratedFebruary 13, 2019

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

    Payer SourceTotal Paid
    Medicaid$44.1K
    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients610$30$15.2K
    D0120Periodic oral evaluation - established patient360$30$9.7K
    D1120Prophylaxis–child130$40$4.8K
    D0220Intraoral - periapical first radiographic image310$10$4.1K
    D0274N/A90$40$3.2K
    D2392Post 2 surface resin‑based composite40$80$3.1K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth40$50$2K
    D0230Intraoral - periapical each additional radiographic image190$10$1.7K
    D9230N/A20$20$370
    D1999N/A80$0$0

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Wyoming median

    10 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D2392Post 2 surface resin‑based composite2130230$90$87.4K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients34100130$30$46.4K
    D1120Prophylaxis–child44100110$30$39.8K
    D0120Periodic oral evaluation - established patient46130170$30$36.9K
    D9230N/A1820360$20$35.9K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth6290100$50$27.4K
    D0230Intraoral - periapical each additional radiographic image1730370$10$20.7K
    D0220Intraoral - periapical first radiographic image2250200$20$19.5K
    D0274N/A3460140$30$14.3K
    D1999N/A61070$10$1.5K

    Nearby Providers

    Other providers in the same ZIP code as Blacks Fork Dental, PC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Alliance Case ManagementWYCase Manager/Care Coordinator$0$3.2M
    Evanston Hospital CorporationWYRural Health Clinic/Center$0$289.4K
    Timberland Chiropractic PCWYChiropractor$0$29.6K
    Lorie ConradWYSocial Worker$0$28.9K
    Lincoln Uinta Child Development AssociationWYClinic/Center$0$24.1K

    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. Wyoming Providers
    0 of 5 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Wyoming Distribution
    Blacks Fork Dental, PC — 0 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wyoming