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    John Britton — Billing Profile & Reimbursement Data

    NPI 1699826834 · Laredo, TX · Oral and Maxillofacial Pathology Dentistry

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    John Britton is a oral and maxillofacial pathology dentistry provider located in Laredo, Texas. This profile covers 5 Medicare and 17 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationJohn Britton
    Address220 W Hillside Rd
    CityLaredo
    StateTX
    ZIP78041
    TaxonomyOral and Maxillofacial Pathology Dentistry
    NPI EnumeratedJanuary 15, 2007

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

    Payer SourceTotal Paid
    Medicaid$2.3M
    Medicare$26.1K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    5 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99205The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…80$140$10.5K
    40801The provider drains fluid from an abscess, cyst, or hematoma from the vestibule or anterior most portion of the oral cavity of the patient’s mouth. This code is applicable if the procedure requires…30$210$6.8K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…50$110$5.8K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…20$90$1.6K
    70355The provider takes panoramic X–rays of the patient’s upper and lower jaws to diagnose a fracture or injury to the jaw.130$10$1.5K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    5 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921430,41132,500110$80$17.6K
    992153,5118,73040$120$9.2K
    4080111030$210$6.8K
    992054104,32030$150$5.5K
    7035575020$10$510

    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.

    17 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D7240N/A3,470$270$923.3K
    41899Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.1,910$150$279.4K
    99205The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…3,330$80$253.4K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…3,590$50$176K
    D9223N/A3,470$40$131.9K
    D0330N/A2,550$50$127.7K
    D0150Comprehensive oral evaluation – new or established patient2,580$30$77.3K
    D9222N/A1,460$50$77.2K
    40801The provider drains fluid from an abscess, cyst, or hematoma from the vestibule or anterior most portion of the oral cavity of the patient’s mouth. This code is applicable if the procedure requires…440$130$56.4K
    D7210Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…500$100$50.8K

    Showing 1–10 of 17

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Texas median

    17 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    41899Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.1470370$760$1M
    00170The provider performs anesthesia services for a patient undergoing an intraoral procedure, including biopsy.68100410$160$390K
    D7240N/A14230260$260$247.2K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…4,6715,810540$50$155.5K
    D9223N/A13140350$60$112.8K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…451,010140$70$77.3K
    D7230N/A1860100$160$75.2K
    40801The provider drains fluid from an abscess, cyst, or hematoma from the vestibule or anterior most portion of the oral cavity of the patient’s mouth. This code is applicable if the procedure requires…110440$130$56.5K
    D9222N/A13140170$70$54K
    D7210Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…21100150$110$53.3K

    Showing 1–10 of 17

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Estrella Provider Services, LLCTXDevelopmentally Disabled Services Day Training Agency$0$58.2M
    Pyra Med Health Services, LLCTXHome Health Agency$0$48.4M
    South Texas Primary Care, Inc.TXHome Health Agency$0$34.7M
    Pw Health Services, LLCTXHome Health Agency$0$29.2M
    M & R Management LLCTXHome Health Agency$0$25.4M
    Mercy Rehab Services IncTXComprehensive Outpatient Rehabilitation Facility (CORF)$0$19.5M
    Laredo Texas Hospital Company LPTXGeneral Acute Care Hospital$0$19.5M
    Gateway Community Health Center, Inc.TXFederally Qualified Health Center (FQHC)$0$12.6M
    Sands Care Health Services, L.c.TXHome Health Agency$0$12.2M
    Ricardo CigarroaTXCardiovascular Disease Physician$1.8M$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.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Texas Distribution
    John Britton — 0 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas
    Medicaid Revenue by Year vs. Texas Providers
    0 of 5 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Texas Distribution
    John Britton — 4 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas