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    OpenPayerNPI Medicare & MedicaidCda Kids Dentistry PLLC
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    Cda Kids Dentistry PLLC — Billing Profile & Reimbursement Data

    NPI 1689346736 · Coeur D Alene, ID · Dental Clinic/Center

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    Cda Kids Dentistry PLLC is a dental clinic/center provider located in Coeur D Alene, Idaho. This profile covers 0 Medicare and 27 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
    OrganizationCda Kids Dentistry PLLC
    Address1341 N Northwood Center Ct Ste B
    CityCoeur D Alene
    StateID
    ZIP83814
    TaxonomyDental Clinic/Center
    NPI EnumeratedSeptember 28, 2021

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

    Payer SourceTotal Paid
    Medicaid$1.8M
    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.

    27 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D1120Prophylaxis–child6,190$50$334.3K
    D2392Post 2 surface resin‑based composite4,700$60$300.5K
    D2930N/A2,280$110$239.6K
    D2934N/A590$310$184.9K
    D0150Comprehensive oral evaluation – new or established patient3,580$50$168.2K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth1,690$80$138.7K
    D2391Resin‑based composite – one surface, posterior2,620$40$104.6K
    D0140Limited oral evaluation – problem focused1,820$40$63.8K
    D1351Sealant - per tooth10,170$10$50.8K
    D0330N/A850$60$49.3K

    Showing 1–10 of 27

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Idaho median

    27 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D2930N/A1750750$70$171.2K
    D1120Prophylaxis–child25250180$60$143K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth55320310$80$80.8K
    D2392Post 2 surface resin‑based composite9190280$60$72.9K
    D2934N/A110190$280$70.8K
    D0210Intraoral - complete series of radiographic images87120140$120$66K
    D0145N/A2530370$50$44K
    D2393Resin-based composite, three surfaces, posterior3770140$120$41.6K
    D0330N/A41170170$50$35.6K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)17110300$30$32.4K

    Showing 1–10 of 27

    Nearby Providers

    Other providers in the same ZIP code as Cda Kids Dentistry PLLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Res-care Washington, IncIDIn Home Supportive Care Agency$0$31.9M
    Dirne Health Centers, Inc.IDFederally Qualified Health Center (FQHC)$0$13.6M
    Coeur D'alene Pediatrics PAIDPediatrics Physician$0$11.6M
    Coeur D'alene School District #271IDLocal Education Agency (LEA)$0$9.8M
    Ambitions Of Idaho, IncIDMental Health Clinic/Center (Including Community Mental Health Center)$0$7.6M
    Dirne Health Centers, Inc.IDFederally Qualified Health Center (FQHC)$0$7.1M
    Kootenai Health, Inc.IDGeneral Acute Care Hospital$0$7M
    Family Support Services Of North IdahoIDMental Health Counselor$0$6.9M
    Dirne Health Centers, IncIDFederally Qualified Health Center (FQHC)$0$6.7M
    Kootenai Health, Inc.IDPsychiatry Physician$0$6.7M

    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. Idaho Providers
    0 of 3 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Idaho Distribution
    Cda Kids Dentistry PLLC — 5 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Idaho