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    OpenPayerNPI Medicare & MedicaidDustin Root
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    Dustin Root — Billing Profile & Reimbursement Data

    NPI 1588048045 · Wilmington, DE · Pediatric Dentistry

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    Dustin Root is a pediatric dentistry provider located in Wilmington, Delaware. This profile covers 0 Medicare and 16 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
    OrganizationDustin Root
    Address1600 Rockland Rd
    CityWilmington
    StateDE
    ZIP19803
    TaxonomyPediatric Dentistry
    NPI EnumeratedJuly 15, 2015

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

    Payer SourceTotal Paid
    Medicaid$150K
    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.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D1120Prophylaxis–child1,140$40$44.3K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients1,290$30$33.5K
    D1351Sealant - per tooth1,000$20$21.9K
    D0120Periodic oral evaluation - established patient860$20$19.8K
    D0272N/A560$10$6.7K
    D0150Comprehensive oral evaluation – new or established patient170$20$4K
    D2392Post 2 surface resin‑based composite50$70$3.7K
    D9230N/A150$20$3.5K
    D0603Antigen testing for a public health-related pathogen, including coronavirus (COVID-19), using a high throughput technique, per day260$10$2.6K
    D0240N/A170$20$2.5K

    Showing 1–10 of 16

    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

    16 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D2392Post 2 surface resin‑based composite7690490$220$366.3K
    D1351Sealant - per tooth40701,690$40$217.1K
    D1120Prophylaxis–child51120960$50$163.3K
    D9230N/A2530900$70$121.1K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients611301,220$30$116.9K
    D0120Periodic oral evaluation - established patient76160800$40$110.5K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth131160330$60$82.3K
    D0240N/A1720510$30$76.3K
    D0272N/A3580430$40$71.6K
    D0274N/A112130330$50$57.4K

    Showing 1–10 of 16

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Dustin Root, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Nemours FoundationDEMulti-Specialty Clinic/Center$0$172M
    The Nemours FoundationFLChildren's Hospital$0$104.9M
    The Nemours FoundationDEChildren's Hospital$0$104M
    Stc Opco LLCPAChildren's Hospital$0$69.2M
    The Nemours FoundationFLMulti-Specialty Clinic/Center$0$46.2M
    Nemours Children's Health, Downtown Orlando, Specialty CareFLMulti-Specialty Clinic/Center$0$44.4M
    Nemours Children's Health, Jacksonville, Specialty CareFLMulti-Specialty Clinic/Center$0$23.6M
    Growing Smiles Of VoorheesNJDental Clinic/Center$0$12.6M
    Sedigheh EbadiFLPediatrics Physician$0$10.1M
    Children's Health Alliance, LLCFLPediatrics Physician$0$9.6M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jevs Human ServicesDEAdult Development & Aging Psychologist$0$84.4M
    Christiana Care Home Health And Community Services, Inc.DEHome Health Agency$0$44.1M
    Children's Dental Health Of Delaware - Wilmington, PADEPediatric Dentistry$0$8M
    Medexpress, Inc - DelawareDEFamily Medicine Physician$0$7.9M
    Radnon Home Care LLCDEIn Home Supportive Care Agency$0$6.5M
    Delaware Cardiovascular Associates, P.A.DECardiovascular Disease Physician$0$5.4M
    Concord Dental, LLCDEDental Clinic/Center$0$4.2M
    Christiana Care Health Services IncDEStudent Health Clinic/Center$0$3.9M
    Dental Management Strategies LLCDEDentist$0$2.9M
    David Dieu Dmd, Md, PADEOral and Maxillofacial Surgery (Dentist)$0$2.9M

    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 4 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Delaware Distribution
    Dustin Root — 0 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Delaware