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    OpenPayerNPI Medicare & MedicaidHarrison Black
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    Harrison Black — Billing Profile & Reimbursement Data

    NPI 1750780052 · Wichita, KS · Pediatric Dentistry

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    Harrison Black is a pediatric dentistry provider located in Wichita, Kansas. This profile covers 0 Medicare and 21 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 TypeIndividual
    OrganizationHarrison Black
    Address3305 E Douglas Ave Ste 101
    CityWichita
    StateKS
    ZIP67218
    TaxonomyPediatric Dentistry
    NPI EnumeratedAugust 22, 2014

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

    Payer SourceTotal Paid
    Medicaid$1.4M
    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.

    21 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D1120Prophylaxis–child6,430$30$205.8K
    D2392Post 2 surface resin‑based composite2,040$80$157K
    D1351Sealant - per tooth6,180$30$154.5K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients7,510$20$135.2K
    D0120Periodic oral evaluation - established patient5,080$20$116.8K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)1,060$90$90.4K
    D2930N/A750$120$90.4K
    D0240N/A4,580$20$77.9K
    D0272N/A3,450$20$72.4K
    D0150Comprehensive oral evaluation – new or established patient2,120$30$63.5K

    Showing 1–10 of 21

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Kansas median

    21 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D2930N/A35601,370$120$359.9K
    D2390N/A410170$140$221.7K
    D1351Sealant - per tooth422101,490$20$189.4K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients33320590$30$120.1K
    D1120Prophylaxis–child34360540$40$108.9K
    D2392Post 2 surface resin‑based composite27190330$80$107.8K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)39130340$80$107.5K
    D3220N/A3230540$60$96.1K
    D2391Resin‑based composite – one surface, posterior53170240$70$81K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth112340380$60$75.7K

    Showing 1–10 of 21

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Harrison Black, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Prairiestar Health Center, IncKSFederally Qualified Health Center (FQHC)$0$13.9M
    Suncoast Community Health Centers IncFLFederally Qualified Health Center (FQHC)$0$7.3M
    Stephanie BryantKSFamily Nurse Practitioner$88.6K$0
    Vinoth MuthalagappanFLPodiatrist$87.8K$0
    Brandi WiensKSAdult Medicine Physician$35K$40
    Kariann BanningKSFamily Nurse Practitioner$19.1K$0
    Luke RosebraughKSFamily Medicine Physician$12.7K$0
    Nathan KnightKSFamily Nurse Practitioner$5K$950

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Wichita Attendant Care ServicesKSHome Health Agency$0$56.5M
    County Of SedgwickKSCommunity/Behavioral Health Agency$0$51.3M
    Miracle Home Care LLCKSHome Health Agency$0$9.4M
    S. Amirani Dds, PAKSGeneral Practice Dentistry$0$4.9M
    Midwest Home Health Care LLCKSHome Health Agency$0$3.7M
    Adventure Vision Parklane LLCKSOptometrist$0$3.4M
    Comfortcare Homes, Inc.KSNursing Facility/Intermediate Care Facility$0$1.9M
    Cep America - Kansas LLCKSEmergency Medicine Physician$0$1.8M
    Kansas Imaging Consultants, PAKSDiagnostic Radiology Physician$0$1.7M
    Gracemed Health Clinic, IncKSFederally Qualified Health Center (FQHC)$0$1.5M

    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. Kansas Providers
    0 of 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Kansas Distribution
    Harrison Black — 0 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kansas