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    OpenPayerNPI Medicare & MedicaidFirestone Dental Group , P.L.L.C.
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    Firestone Dental Group , P.L.L.C. — Billing Profile & Reimbursement Data

    NPI 1629129242 · Memphis, TN · General Practice Dentistry

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    Firestone Dental Group , P.L.L.C. is a general practice dentistry provider located in Memphis, Tennessee. This profile covers 0 Medicare and 30 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
    OrganizationFirestone Dental Group , P.L.L.C.
    Address1216 Thomas St
    CityMemphis
    StateTN
    ZIP38107
    TaxonomyGeneral Practice Dentistry
    NPI EnumeratedJanuary 12, 2007

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

    Payer SourceTotal Paid
    Medicaid$18.1M
    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.

    30 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D1120Prophylaxis–child83,970$30$2.9M
    D0120Periodic oral evaluation - established patient107,050$30$2.7M
    D1208Topical application of fluoride - excluding varnish100,640$20$2.1M
    D1351Sealant - per tooth58,530$30$1.8M
    D1110Prophylaxis - adult; cleaning and polishing of the teeth29,170$40$1.3M
    D2391Resin‑based composite – one surface, posterior18,430$60$1.1M
    D0210Intraoral - complete series of radiographic images18,570$60$1.1M
    D2930N/A6,650$110$757.5K
    D2392Post 2 surface resin‑based composite7,660$70$567.1K
    D2140Amalgam - one surface, primary or permanent8,730$60$549.7K

    Showing 1–10 of 30

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Tennessee median

    30 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D2930N/A26160770$110$399.1K
    D3330N/A96090$560$184K
    D3220N/A10110610$80$167.4K
    D1120Prophylaxis–child2660720$30$135.9K
    D2390N/A910160$150$126.1K
    D2392Post 2 surface resin‑based composite20470450$70$107K
    D0120Periodic oral evaluation - established patient2720980$20$106.4K
    D2931N/A21060$130$85.3K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)66370350$60$82.8K
    D2150Amalgam - two surfaces, primary or permanent590220$70$81.3K

    Showing 1–10 of 30

    Nearby Providers

    Other providers in the same ZIP code as Firestone Dental Group , P.L.L.C., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Children's Bureau Inc.TNFoster Care Agency$0$5.5M
    Karen WilsonTNPsychiatric/Mental Health Clinical Nurse Specialist$61.1K$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. Tennessee Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Tennessee Distribution
    Firestone Dental Group , P.L.L.C. — 14 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee