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    v1.0.28
    OpenPayerNPI Medicare & MedicaidBlake C Wullbrandt
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    Blake C Wullbrandt — Billing Profile & Reimbursement Data

    NPI 1700811734 · Keene, NH · Pediatric Dentistry

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    Blake C Wullbrandt is a pediatric dentistry provider located in Keene, New Hampshire. This profile covers 0 Medicare and 29 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)

    Table of contents

    Progress1 / 7

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    Provider details
    FieldValue
    Entity TypeOrganization
    OrganizationBlake C Wullbrandt
    Address113 Railroad St
    CityKeene
    StateNH
    ZIP03431
    TaxonomyPediatric Dentistry
    NPI EnumeratedJuly 11, 2006

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

    Payer SourceTotal Paid
    Medicaid$3.5M
    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.

    29 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D0120Periodic oral evaluation - established patient13,960$30$432.7K
    D1120Prophylaxis–child11,090$40$421.5K
    D2150Amalgam - two surfaces, primary or permanent3,700$110$388.2K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients16,140$20$322.7K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth5,570$60$306.1K
    D9230N/A5,520$50$253.7K
    D1351Sealant - per tooth7,220$30$230.9K
    D2930N/A740$190$142.6K
    D0272N/A5,120$30$138.1K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)1,220$100$124.6K

    Showing 1–10 of 29

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. New Hampshire median

    29 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D2930N/A710590$210$535.2K
    D2140Amalgam - one surface, primary or permanent310520$90$223.9K
    D2150Amalgam - two surfaces, primary or permanent310140$100$180K
    D1354N/A720550$20$175.1K
    D2392Post 2 surface resin‑based composite1660330$110$167.9K
    D3220N/A51080$100$157.1K
    D2160Amalgam - three surfaces, primary or permanent210920$130$115.8K
    D2391Resin‑based composite – one surface, posterior1550150$100$103.9K
    D9230N/A640710$40$96.9K
    D1351Sealant - per tooth670580$30$90.5K

    Showing 1–10 of 29

    Nearby Providers

    Other providers in the same ZIP code as Blake C Wullbrandt, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Monadnock Developmental ServicesNHChild Intellectual and/or Developmental Disabilities Respite Care$0$184M
    Monadnock Family ServicesNHCommunity/Behavioral Health Agency$0$47.8M
    Residential Resources Of MaineNHCommunity/Behavioral Health Agency$0$40.1M
    Live Free Recovery Services, LLCNHSubstance Abuse Rehabilitation Facility$0$19.1M
    Cheshire Medical CenterNHMedicare Defined Swing Bed Hospital Unit$0$8.7M
    ChescoNHIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$8.1M
    County Of CheshireNHCase Manager/Care Coordinator$0$7.7M
    Montshire Pediatric Dentistry, PCNHPediatric Dentistry$0$7.1M
    Monadnock CollaborativeNHCase Management Agency$0$5.6M
    Cheshire Medical CenterNHFamily Medicine Physician$0$4.6M

    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. New Hampshire Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New Hampshire Distribution
    Blake C Wullbrandt — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Hampshire