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    OpenPayerNPI Medicare & MedicaidKdp PLLC
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    Kdp PLLC — Billing Profile & Reimbursement Data

    NPI 1699331421 · Kingston, TN · General Practice Dentistry

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    Kdp PLLC is a general practice dentistry provider located in Kingston, Tennessee. 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.

    (source: NPPES NPI Registry)

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    Progress1 / 7

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    Provider details
    FieldValue
    Entity TypeOrganization
    OrganizationKdp PLLC
    Address1212 N Kentucky St
    CityKingston
    StateTN
    ZIP37763
    TaxonomyGeneral Practice Dentistry
    NPI EnumeratedMay 16, 2019

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

    Payer SourceTotal Paid
    Medicaid$2.2M
    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
    D2392Post 2 surface resin‑based composite5,970$70$430K
    D0120Periodic oral evaluation - established patient10,830$20$259.9K
    D1208Topical application of fluoride - excluding varnish11,310$20$237.4K
    D1120Prophylaxis–child6,420$30$218.3K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth5,000$40$215.1K
    D2391Resin‑based composite – one surface, posterior3,480$60$208.7K
    D2393Resin-based composite, three surfaces, posterior1,330$80$110.7K
    D0274N/A4,060$30$109.7K
    D0220Intraoral - periapical first radiographic image7,540$10$90.5K
    D0230Intraoral - periapical each additional radiographic image9,860$10$88.7K

    Showing 1–10 of 23

    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

    23 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D2930N/A97160770$110$399.1K
    D1120Prophylaxis–child97660720$30$135.9K
    D2392Post 2 surface resin‑based composite25470450$70$107K
    D0120Periodic oral evaluation - established patient69720980$20$106.4K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)286370350$60$82.8K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients623650730$20$72.1K
    D1208Topical application of fluoride - excluding varnish28440950$20$71.8K
    D2391Resin‑based composite – one surface, posterior36440280$60$69.8K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth51690640$40$69.8K
    D1351Sealant - per tooth250310500$10$63.6K

    Showing 1–10 of 23

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Michael Dunn CenterTNDevelopmentally Disabled Services Day Training Agency$0$3.4M
    Jennifer DaughertyTNNurse Practitioner$95.9K$0
    Dwight WillettTNFamily Medicine Physician$86.1K$8.5K
    Rebecca FitzgeraldTNFamily Nurse Practitioner$23.2K$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
    0 of 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Tennessee Distribution
    Kdp PLLC — 0 of 22 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee