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    OpenPayerNPI Medicare & MedicaidKids Dentistree - Corydon LLC
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    Kids Dentistree - Corydon LLC — Billing Profile & Reimbursement Data

    NPI 1922530419 · Corydon, IN · Dentist

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    Kids Dentistree - Corydon LLC is a dentist provider located in Corydon, Indiana. This profile covers 0 Medicare and 25 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
    OrganizationKids Dentistree - Corydon LLC
    Address2086 Old Hwy 135 Nw
    CityCorydon
    StateIN
    ZIP47112
    TaxonomyDentist
    NPI EnumeratedApril 3, 2017

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

    Payer SourceTotal Paid
    Medicaid$3.9M
    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.

    25 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D1354N/A11,120$70$734.1K
    D2930N/A4,610$130$581.2K
    D1120Prophylaxis–child13,510$30$418.7K
    D1351Sealant - per tooth13,250$30$357.8K
    D0120Periodic oral evaluation - established patient12,140$20$255K
    D0272N/A9,820$20$216K
    D1208Topical application of fluoride - excluding varnish10,560$20$200.5K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)2,160$80$166.4K
    D2392Post 2 surface resin‑based composite2,950$50$159.5K
    D9230N/A4,800$30$124.7K

    Showing 1–10 of 25

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Indiana median

    25 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D2930N/A371701,180$130$370.2K
    D1354N/A12130700$70$252.9K
    D1351Sealant - per tooth51450780$20$118.4K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)114540460$70$106.9K
    D3220N/A4790240$90$90K
    D2392Post 2 surface resin‑based composite81720400$60$76.5K
    D1120Prophylaxis–child41970450$30$69K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth3921,230660$40$67K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients127750530$20$56.9K
    D0120Periodic oral evaluation - established patient611,360800$20$53.2K

    Showing 1–10 of 25

    Nearby Providers

    Other providers in the same ZIP code as Kids Dentistree - Corydon LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Corydon Recovery LLCINSubstance Abuse Rehabilitation Facility$0$20.5M
    Harrison County HospitalINCritical Access Hospital$0$12.8M
    Clarksville Emergency Group, PCINEmergency Medicine Physician$0$8.8M
    Corydon Pain Management Clinic IncINInterventional Pain Medicine Physician$0$2.7M
    Christopher SacconeINFoot & Ankle Surgery Podiatrist$228.7K$0
    Rachel WateINNurse Practitioner$162.6K$0
    Michelle SchearINNurse Practitioner$132.5K$0
    Dawn KoppINFamily Nurse Practitioner$130.6K$0
    Christina BeanINFamily Nurse Practitioner$111K$0
    Candace EmbryINFamily Medicine Physician$110.5K$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.

    Medicaid Revenue by Year vs. Indiana Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Indiana Distribution
    Kids Dentistree - Corydon LLC — 5 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Indiana