Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidAndina Dental Studio Inc
    Ask Trek AI about this page

    Andina Dental Studio Inc — Billing Profile & Reimbursement Data

    NPI 1780272682 · Wilmington, DE · Dental Clinic/Center

    Customize your policy alerts

    Sign up for Andina Dental Studio Inc — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Andina Dental Studio Inc is a dental clinic/center provider located in Wilmington, Delaware. 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.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationAndina Dental Studio Inc
    Address4100 Dawnbrook Dr Ste 4
    CityWilmington
    StateDE
    ZIP19804
    TaxonomyDental Clinic/Center
    NPI EnumeratedJanuary 6, 2021

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

    Payer SourceTotal Paid
    Medicaid$727K
    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
    D2392Post 2 surface resin‑based composite1,140$260$297.4K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth1,110$70$82.4K
    D2393Resin-based composite, three surfaces, posterior220$340$73.6K
    D0150Comprehensive oral evaluation – new or established patient750$70$54.1K
    D0120Periodic oral evaluation - established patient1,020$40$43.9K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients850$30$28.1K
    D0274N/A540$50$27.9K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)120$180$22.5K
    D1120Prophylaxis–child360$60$20.5K
    D0210Intraoral - complete series of radiographic images160$110$17.5K

    Showing 1–10 of 21

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Delaware median

    21 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D2392Post 2 surface resin‑based composite3290490$220$366.3K
    D2393Resin-based composite, three surfaces, posterior2340260$270$226.1K
    D2391Resin‑based composite – one surface, posterior5470320$180$192K
    D1120Prophylaxis–child79120960$50$163.3K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)4060270$140$137K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients721301,220$30$116.9K
    D0120Periodic oral evaluation - established patient73160800$40$110.5K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth54160330$60$82.3K
    D0272N/A7480430$40$71.6K
    D0274N/A53130330$50$57.4K

    Showing 1–10 of 21

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Andina Dental Studio Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Andres HurtadoDEDentist$0$259.8K

    Nearby Providers

    Other providers in the same ZIP code as Andina Dental Studio Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    1st State Accessibility, LLCDECustomized Equipment (DME)$0$8.2M
    Gunning Partners, LLCDEIn Home Supportive Care Agency$0$5.7M
    Avalon Dental LLCDEGeneral Practice Dentistry$0$5.5M
    Emerald DentalDEGeneral Practice Dentistry$0$1.8M
    Delaware Behavioral Health, Inc.DEChild & Family Psychiatric/Mental Health Clinical Nurse Specialist$0$1.2M
    Rosemary K And Timothy J Clay DmdDEPediatric Dentistry$0$372.5K
    Dental Diamond LLCDEDental Clinic/Center$0$328.3K
    State Of DelawareDELocal Education Agency (LEA)$0$236.1K
    Murtaza BhattiDEInternal Medicine Physician$233.7K$790
    Five Points Fire Company No 1DELand Ambulance$70.2K$133.6K

    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. Delaware Providers
    0 of 4 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Delaware Distribution
    Andina Dental Studio Inc — 0 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Delaware