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    OpenPayerNPI Medicare & MedicaidManchester Walk In Dental Clinic PC
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    Manchester Walk In Dental Clinic PC — Billing Profile & Reimbursement Data

    NPI 1598058968 · Manchester, NH · General Practice Dentistry

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    Manchester Walk In Dental Clinic PC is a general practice dentistry provider located in Manchester, New Hampshire. 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
    OrganizationManchester Walk In Dental Clinic PC
    Address25 S Maple St
    CityManchester
    StateNH
    ZIP03103
    TaxonomyGeneral Practice Dentistry
    NPI EnumeratedMay 18, 2011

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

    Payer SourceTotal Paid
    Medicaid$83.4K
    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
    D0140Limited oral evaluation – problem focused840$40$37K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)190$100$18.3K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth200$70$13.5K
    D2392Post 2 surface resin‑based composite30$120$3.9K
    D0120Periodic oral evaluation - established patient120$30$3.7K
    D0220Intraoral - periapical first radiographic image510$10$3.5K
    D0150Comprehensive oral evaluation – new or established patient40$70$2.7K
    D1120Prophylaxis–child10$30$420
    D1208Topical application of fluoride - excluding varnish20$20$310
    D9986N/A10$0$0

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. New Hampshire median

    10 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D2392Post 2 surface resin‑based composite5060330$110$167.9K
    D1120Prophylaxis–child155160250$40$89.7K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)3150260$100$89K
    D0120Periodic oral evaluation - established patient120190240$30$73.2K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth69140200$50$51.6K
    D0140Limited oral evaluation – problem focused2780230$40$40.4K
    D1208Topical application of fluoride - excluding varnish118130280$20$40.1K
    D0150Comprehensive oral evaluation – new or established patient82100170$50$39.9K
    D0220Intraoral - periapical first radiographic image3380280$10$8.6K
    D9986N/A1410120$1$20

    Nearby Providers

    Other providers in the same ZIP code as Manchester Walk In Dental Clinic PC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Mental Health Center Of Greater ManchesterNHMental Health Clinic/Center (Including Community Mental Health Center)$0$143.9M
    Easter Seals New Hampshire, IncNHDevelopmental Disabilities Clinic/Center$0$63.1M
    Elliot Hospital Of The City Of ManchesterNHGeneral Acute Care Hospital$0$60.5M
    Easter Seals New Hampshire, IncNHDevelopmental Disabilities Clinic/Center$0$37.9M
    Metro Treatment Of New Hampshire, LPNHMethadone Clinic$859.8K$15.4M
    Manchester Alcoholism Rehabilitation CenterNHSubstance Use Disorder Rehabilitation Clinic/Center$0$16M
    Minuteman Medical Inc.NHDurable Medical Equipment & Medical Supplies$0$15M
    Factor Dental, IncNHPoint of Service$0$12.5M
    Bayada Home Health Care, Inc.NHHome Health Agency$0$9.3M
    Lifeshare Management Group, Inc.NHIn Home Supportive Care Agency$0$8.7M

    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. New Hampshire Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New Hampshire Distribution
    Manchester Walk In Dental Clinic PC — 0 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Hampshire