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    OpenPayerNPI Medicare & MedicaidMaplewood Dental LLC
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    Maplewood Dental LLC — Billing Profile & Reimbursement Data

    NPI 1578691838 · Rehoboth Beach, DE · Dentist

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    Maplewood Dental LLC is a dentist provider located in Rehoboth Beach, Delaware. 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
    OrganizationMaplewood Dental LLC
    Address18913 John J Williams Hwy
    CityRehoboth Beach
    StateDE
    ZIP19971
    TaxonomyDentist
    NPI EnumeratedMarch 1, 2007

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

    Payer SourceTotal Paid
    Medicaid$204.9K
    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
    D1110Prophylaxis - adult; cleaning and polishing of the teeth910$70$58.9K
    D0120Periodic oral evaluation - established patient1,390$40$52.8K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients1,540$30$46K
    D0274N/A300$50$13.7K
    D2392Post 2 surface resin‑based composite60$190$11.2K
    D2391Resin‑based composite – one surface, posterior80$140$11K
    D1120Prophylaxis–child230$50$10.7K
    D0150Comprehensive oral evaluation – new or established patient30$20$690
    D0602N/A200$0$0
    D0603Antigen testing for a public health-related pathogen, including coronavirus (COVID-19), using a high throughput technique, per day510$0$0

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Delaware median

    10 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D2392Post 2 surface resin‑based composite7490490$220$366.3K
    D2391Resin‑based composite – one surface, posterior5170320$180$192K
    D1120Prophylaxis–child91120960$50$163.3K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients531301,220$30$116.9K
    D0120Periodic oral evaluation - established patient65160800$40$110.5K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth59160330$60$82.3K
    D0274N/A69130330$50$57.4K
    D0150Comprehensive oral evaluation – new or established patient124150260$60$53.2K
    D0603Antigen testing for a public health-related pathogen, including coronavirus (COVID-19), using a high throughput technique, per day59901,060$1$150
    D0602N/A6290460$1$20

    Nearby Providers

    Other providers in the same ZIP code as Maplewood Dental LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Coastal Kids Pediatric Dentistry, LLCDEPediatric Dentistry$0$9.7M
    Beacon Pediatrics LLCDEPediatrics Physician$0$3.7M
    Ams Of Delaware, LLCDESubstance Use Disorder Rehabilitation Hospital Unit$123.6K$3.3M
    Nouman AsifDEHematology & Oncology Physician$1.5M$0
    Delaware Eye Surgery Center, LLCDEAmbulatory Surgical Clinic/Center$1.3M$20.1K
    Charles CurryDEOphthalmology Physician$605.3K$0
    Rehoboth Beach Volunteer Fire Co., Inc.DEAmbulance$459.2K$62.8K
    Scott FudembergDEOphthalmology Physician$353.5K$0
    Arthur BelsonDEOphthalmology Physician$316.3K$0
    Matthew TullochDEFamily Medicine Physician$257K$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. Delaware Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Delaware Distribution
    Maplewood Dental LLC — 0 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Delaware