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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMichelle Wild
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    Michelle Wild — Billing Profile & Reimbursement Data

    NPI 1689778086 · Apo, AE · Pediatric Dentistry

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    Michelle Wild is a pediatric dentistry provider located in Apo, Armed Forces Europe. This profile covers 0 Medicare and 7 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services. Note: "AE" is a US military postal designation for Armed Forces stationed in Europe, the Middle East, Africa, or Canada — not a traditional US state; claims coded under it are grouped and benchmarked here the same way a traditional state would be.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationMichelle Wild
    AddressOpc 2 Box 60
    CityApo
    StateAE (Armed Forces Europe)
    ZIP09094
    TaxonomyPediatric Dentistry
    NPI EnumeratedSeptember 8, 2006

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

    Payer SourceTotal Paid
    Medicaid$138.4K
    Medicare$0

    Key Findings

    This provider is effectively a Medicaid-only biller: there is no Medicare revenue on file and all reported lifetime revenue is Medicaid-based at $138.4K. That scale places this practice in a modest Medicaid footprint rather than a large multi-payer or Medicare-participating provider, so analyses should treat payer mix as single-payer Medicaid-dominant.

    Revenue is highly concentrated in a very small set of codes: the precomputed top 3 Medicaid codes account for 81.9% of this provider's total Medicaid revenue. In practice this means a few procedure lines drive most of the business and any reimbursement or utilization changes for those codes would materially affect overall revenue.

    The single largest revenue line is D9999 (no description available), which generated $60.9K and represents 44.0% of the provider's Medicaid revenue. D9999 also ranks #1 of 1 providers in-state (0th percentile; no state peer volume comparison available), indicating this code is a dominant revenue source for this NPI but lacks in-state peers for benchmarking.

    Preventive pediatric dental care appears to be the core clinical operation: D0120 (Periodic oral evaluation - established patient) produced $27.1K from 631 claims and D1120 (Prophylaxis–child) produced $25.4K from 650 claims, contributing 19.6% and 18.3% of Medicaid revenue respectively. Both codes rank #1 of 2 providers in-state (100th percentile) and are described as typical, unremarkable volume for these codes, suggesting this provider delivers routine, high-volume preventive services consistent with a pediatric dentistry focus.

    Topical prevention is also a notable service line: D1206 (Topical Fluoride Treatment) accounts for $20.3K from 700 claims and 14.7% of Medicaid revenue, and ranks #1 of 2 providers in-state (100th percentile) with typical, unremarkable volume. Together with D0120 and D1120, these preventive codes reflect a stable mix centered on routine pediatric preventive interventions rather than complex restorative procedures.

    The unusual reliance on D9999 — an uncategorized/no-description code — creates a benchmarking and transparency gap: it is both the single largest revenue source ($60.9K, 44.0%) and has no state peer volume comparison (rank #1 of 1; 0th percentile). Analysts should flag that a sizable portion of reimbursement sits in a code that lacks a clear service description, limiting peer-based interpretation.

    Other codes are small contributors and show limited in-state competition or low volumes: examples include D9920 ($1.2K, 12 claims; ranks #1 of 1 providers in-state with no state peer comparison) and D9230 ($588, 28 claims; ranks #2 of 2 providers in-state). These lower-revenue codes indicate occasional use of less-common service lines but do not materially affect the practice’s overall Medicaid revenue profile.

    The provider has long tenure in the registry, with NPI enumeration on 2006-09-08 (~20 years ago), which supports that the current billing pattern reflects an established pediatric dentistry practice rather than a newly enrolled provider. Given the concentrated revenue mix and the dominance of preventive pediatric codes, competitive positioning should be assessed within the narrower peer set for pediatric preventive dentistry in-state rather than across broader dental cohorts.

    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.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D9999N/A300$200$60.9K
    D0120Periodic oral evaluation - established patient630$40$27.1K
    D1120Prophylaxis–child650$40$25.4K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients700$30$20.3K
    D0272N/A120$30$2.9K
    D9920N/A10$100$1.2K
    D9230N/A30$20$590

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Armed Forces Europe providers billing the same CPT/HCPCS codes. Note: "AE" is a US military postal designation for Armed Forces stationed in Europe, the Middle East, Africa, or Canada — not a traditional US state; claims coded under it are benchmarked here as their own state-equivalent group.

    Full comparison — all codes billed, vs. Armed Forces Europe median

    7 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D9999N/A110300$200$61K
    D0120Periodic oral evaluation - established patient110320$40$13.7K
    D1120Prophylaxis–child110330$40$12.8K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients110390$30$11.2K
    D0272N/A11060$20$1.5K
    D9920N/A11010$100$1.2K
    D9230N/A21040$30$900

    Nearby Providers

    Other providers in the same ZIP code as Michelle Wild, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Alexis WeinrichAE (Armed Forces Europe)Physician Assistant$23.7K$0
    Traci SickichAE (Armed Forces Europe)Nurse Practitioner$19.4K$0
    Jean ButtsAE (Armed Forces Europe)Physical Therapist$7.9K$0
    Philip Oro—Family Medicine Physician$3.2K$0
    Eunice KimAE (Armed Forces Europe)Psychiatric/Mental Health Nurse Practitioner$560$0
    Ibrahim SadekAE (Armed Forces Europe)Preventive Medicine/Occupational Environmental Medicine Physician$0$460

    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. Armed Forces Europe Providers
    2 of 3 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Armed Forces Europe Distribution
    Michelle Wild — 4 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Armed Forces Europe