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    OpenPayerNPI Medicare & MedicaidAllegany County Health Department
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    Allegany County Health Department — Billing Profile & Reimbursement Data

    NPI 1639293228 · Cumberland, MD · Dental Clinic/Center

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    Allegany County Health Department is a dental clinic/center provider located in Cumberland, Maryland. This profile covers 0 Medicare and 24 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
    OrganizationAllegany County Health Department
    Address12503 Willowbrook Rd
    CityCumberland
    StateMD
    ZIP21502
    TaxonomyDental Clinic/Center
    NPI EnumeratedMarch 19, 2007

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

    Payer SourceTotal Paid
    Medicaid$4.5M
    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.

    24 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)7,600$120$942K
    D1351Sealant - per tooth18,020$30$612.7K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients21,040$30$525.9K
    D1120Prophylaxis–child10,550$40$453.6K
    D0120Periodic oral evaluation - established patient10,650$30$308.9K
    D0140Limited oral evaluation – problem focused6,300$40$277K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth3,970$60$241.9K
    D2392Post 2 surface resin‑based composite1,690$130$215K
    D0330N/A4,870$40$214.4K
    D2391Resin‑based composite – one surface, posterior1,720$100$171.9K

    Showing 1–10 of 24

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Maryland median

    24 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D2392Post 2 surface resin‑based composite140670330$120$172.5K
    D1351Sealant - per tooth23410890$30$165.8K
    D1120Prophylaxis–child62820450$40$141.3K
    D2391Resin‑based composite – one surface, posterior78510250$90$106K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)6390250$100$93.2K
    D2393Resin-based composite, three surfaces, posterior88340160$160$89.1K
    D0120Periodic oral evaluation - established patient731,150500$30$81.1K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients28870700$20$79.7K
    D1354N/A1210190$60$65.4K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth601,100360$60$61.5K

    Showing 1–10 of 24

    Nearby Providers

    Other providers in the same ZIP code as Allegany County Health Department, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Archway Station IncMDRehabilitation Psychologist$0$18.5M
    Board Of Education Of Allegany CountyMDAudiologist$0$17.2M
    Associated Catholic CharitiesMDMental Health Clinic/Center (Including Community Mental Health Center)$0$17M
    Allegany County Health Department/joseph S Massie UnitMDSubstance Abuse Rehabilitation Facility$0$16.3M
    Committed To Change, P.C.MDMental Health Clinic/Center (Including Community Mental Health Center)$0$13.3M
    Ats Of Cecil County, Inc.MDMethadone Clinic$0$11.9M
    Committed To Change, P.C.MDMental Health Clinic/Center (Including Community Mental Health Center)$0$10.2M
    Wmrs IncMDMethadone Clinic$230.8K$9M
    Upmc Western Maryland CorporationMDRadiology Clinic/Center$917.4K$7.3M
    Cumberland Covenant House LLCMDAdult Day Care Clinic/Center$0$8.2M

    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. Maryland Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Maryland Distribution
    Allegany County Health Department — 5 of 24 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maryland