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    OpenPayerNPI Medicare & MedicaidSurgical Center For Dental Professionals Of Nc LLC
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    Surgical Center For Dental Professionals Of Nc LLC — Billing Profile & Reimbursement Data

    NPI 1932634029 · Raleigh, NC · Ambulatory Surgical Clinic/Center

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    Surgical Center For Dental Professionals Of Nc LLC is a ambulatory surgical clinic/center provider located in Raleigh, North Carolina. This profile covers 0 Medicare and 16 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
    OrganizationSurgical Center For Dental Professionals Of Nc LLC
    Address2620 New Bern Ave
    CityRaleigh
    StateNC
    ZIP27610
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedApril 26, 2017

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

    Payer SourceTotal Paid
    Medicaid$11M
    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.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    G0330Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an…5,780$1,660$9.6M
    D2930N/A20,250$50$1.1M
    D1351Sealant - per tooth2,100$50$94.5K
    D2392Post 2 surface resin‑based composite1,510$40$62K
    D2391Resin‑based composite – one surface, posterior890$50$39.8K
    D1510N/A150$250$37.2K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)6,870$10$34.4K
    D3220N/A3,900$1$11.7K
    D7240N/A100$80$8.4K
    D2934N/A1,380$1$5.5K

    Showing 1–10 of 16

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. North Carolina median

    16 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G0330Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an…310200$1,440$3.6M
    41899Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.1940420$1,080$841K
    D7240N/A72100600$190$454.1K
    D2930N/A7260710$140$426.8K
    D2392Post 2 surface resin‑based composite309940660$100$205.2K
    D1120Prophylaxis–child6761,140780$30$116.3K
    D2391Resin‑based composite – one surface, posterior261790410$80$114.6K
    D1351Sealant - per tooth185540980$30$114.4K
    D2934N/A840230$160$112.8K
    00170The provider performs anesthesia services for a patient undergoing an intraoral procedure, including biopsy.5960280$90$98.6K

    Showing 1–10 of 16

    Nearby Providers

    Other providers in the same ZIP code as Surgical Center For Dental Professionals Of Nc LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    WakemedNCGeneral Acute Care Hospital$0$140.8M
    Carolina Outreach, LLCNCCommunity/Behavioral Health Agency$0$38M
    County Of WakeNCState or Local Public Health Clinic/Center$0$26.4M
    Southlight HealthcareNCCommunity/Behavioral Health Agency$124.4K$24.4M
    Wake Emergency Physicians PANCEmergency Medicine Physician$0$24.3M
    Wake Specialty Physicians, LLCNCSurgery Physician$0$14.8M
    Advance Community Health, IncNCFederally Qualified Health Center (FQHC)$0$10.8M
    Advance Community Health, IncNCFederally Qualified Health Center (FQHC)$0$10.7M
    Family First Personal CareNCIn Home Supportive Care Agency$0$9.5M
    Southeastern Healthcare Of North Carolina, Inc.NCCommunity/Behavioral Health Agency$0$8.2M

    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. North Carolina Providers
    1 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. North Carolina Distribution
    Surgical Center For Dental Professionals Of Nc LLC — 2 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina