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    v1.0.28
    OpenPayerNPI Medicare & MedicaidCasper Mountain Dental
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    Casper Mountain Dental — Billing Profile & Reimbursement Data

    NPI 1922470293 · Glenrock, WY · General Practice Dentistry

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    Casper Mountain Dental is a general practice dentistry provider located in Glenrock, Wyoming. This profile covers 0 Medicare and 6 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 TypeOrganization
    OrganizationCasper Mountain Dental
    Address925 W Birch Street
    CityGlenrock
    StateWY
    ZIP82637
    TaxonomyGeneral Practice Dentistry
    NPI EnumeratedOctober 27, 2015

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

    Payer SourceTotal Paid
    Medicaid$22.2K
    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.

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D1110Prophylaxis - adult; cleaning and polishing of the teeth150$50$7.3K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients190$30$6.5K
    D0120Periodic oral evaluation - established patient120$30$3.8K
    D1120Prophylaxis–child70$30$2.4K
    D0150Comprehensive oral evaluation – new or established patient40$30$1.5K
    D0274N/A20$30$770

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Wyoming median

    6 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients46100130$30$46.4K
    D1120Prophylaxis–child56100110$30$39.8K
    D0120Periodic oral evaluation - established patient76130170$30$36.9K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth3890100$50$27.4K
    D0150Comprehensive oral evaluation – new or established patient326070$30$15K
    D0274N/A5060140$30$14.3K

    Nearby Providers

    Other providers in the same ZIP code as Casper Mountain Dental, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Case Management Services IncorporatedWYDevelopmentally Disabled Services Day Training Agency$0$510.7K
    Glenrock Hospital DistrictWYRural Health Clinic/Center$0$435.4K
    Memorial Hospital Of Converse CountyWYRural Health Clinic/Center$0$26K

    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. Wyoming Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Wyoming Distribution
    Casper Mountain Dental — 0 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wyoming