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    OpenPayerNPI Medicare & MedicaidOpelousas Dental LLC
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    Opelousas Dental LLC — Billing Profile & Reimbursement Data

    NPI 1598060642 · Opelousas, LA · General Practice Dentistry

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    Opelousas Dental LLC is a general practice dentistry provider located in Opelousas, Louisiana. This profile covers 0 Medicare and 23 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
    OrganizationOpelousas Dental LLC
    Address506 N Court St
    CityOpelousas
    StateLA
    ZIP70570
    TaxonomyGeneral Practice Dentistry
    NPI EnumeratedJanuary 21, 2011

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

    Payer SourceTotal Paid
    Medicaid$7.6M
    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.

    23 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D2930N/A13,960$140$1.9M
    D1120Prophylaxis–child20,890$40$773K
    D0120Periodic oral evaluation - established patient24,280$30$704K
    D2150Amalgam - two surfaces, primary or permanent6,060$100$612K
    D2140Amalgam - one surface, primary or permanent6,940$70$506.9K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth9,290$50$483.1K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)7,900$60$481.6K
    D1208Topical application of fluoride - excluding varnish16,770$20$352.1K
    D0272N/A16,000$20$352K
    D0330N/A4,660$70$307.7K

    Showing 1–10 of 23

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Louisiana median

    23 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D2930N/A61401,000$140$453.6K
    D3220N/A4590460$90$144.8K
    D1120Prophylaxis–child25610750$30$125.3K
    D0120Periodic oral evaluation - established patient22730990$30$104.7K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth43720670$40$93.4K
    D1351Sealant - per tooth74230560$30$89.2K
    D2140Amalgam - one surface, primary or permanent690270$70$89.2K
    D2150Amalgam - two surfaces, primary or permanent2110430$90$87K
    D9230N/A217290570$40$80.1K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)17340420$40$75.5K

    Showing 1–10 of 23

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Opelousas General Hospital AuthorityLAGeneral Acute Care Hospital$0$27.2M
    Agape Total Care LLCLAPersonal Care Attendant$0$19.1M
    Lily Pad Pediatrics, LLCLARural Health Clinic/Center$0$10.7M
    Southern Home Care Services, Inc.LAIntellectual Disabilities Intermediate Care Facility$0$10.6M
    Opelousas Emergency Group LLCLAEmergency Medicine Physician$0$10M
    Agape Total Care LLCLAPersonal Care Attendant$0$9M
    Louisiana Home Healthcare Partners, LLCLAHome Health Agency$0$8.9M
    Southwest Louisiana Primary Health Care Center, IncLAFederally Qualified Health Center (FQHC)$0$8M
    Jodison Prime Care, LLCLACommunity Based Hospice Care Agency$0$6.5M
    St Landry EmsLAAmbulance$839.2K$5.3M

    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. Louisiana Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Louisiana Distribution
    Opelousas Dental LLC — 8 of 23 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Louisiana