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    OpenPayerNPI Medicare & MedicaidDental Group Of Ellisville, PLLC
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    Dental Group Of Ellisville, PLLC — Billing Profile & Reimbursement Data

    NPI 1972851814 · Ellisville, MS · General Practice Dentistry

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    Dental Group Of Ellisville, PLLC is a general practice dentistry provider located in Ellisville, Mississippi. This profile covers 0 Medicare and 20 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
    OrganizationDental Group Of Ellisville, PLLC
    Address97 Hal Crocker Road
    CityEllisville
    StateMS
    ZIP39437
    TaxonomyGeneral Practice Dentistry
    NPI EnumeratedAugust 27, 2012

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

    Payer SourceTotal Paid
    Medicaid$1.7M
    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.

    20 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D2392Post 2 surface resin‑based composite3,330$100$330K
    D0140Limited oral evaluation – problem focused7,080$40$247.9K
    D7210Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…2,060$100$195.8K
    D1120Prophylaxis–child6,530$30$169.7K
    D0330N/A2,560$50$115.3K
    D2391Resin‑based composite – one surface, posterior1,570$70$114.3K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients5,090$20$112K
    D0274N/A2,730$20$65.6K
    D0150Comprehensive oral evaluation – new or established patient2,160$30$62.7K
    D1351Sealant - per tooth1,740$30$50.5K

    Showing 1–10 of 20

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Mississippi median

    20 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D7210Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…14100280$110$133.2K
    D2392Post 2 surface resin‑based composite31360360$90$112.4K
    D1351Sealant - per tooth104320570$20$96.7K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)106330240$110$91K
    D1120Prophylaxis–child917401,040$20$79.8K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients66580640$20$57.5K
    D2391Resin‑based composite – one surface, posterior43290290$70$57.5K
    D0120Periodic oral evaluation - established patient146540530$20$53.8K
    D0150Comprehensive oral evaluation – new or established patient139700590$30$45.9K
    D0272N/A278440440$20$36K

    Showing 1–10 of 20

    Nearby Providers

    Other providers in the same ZIP code as Dental Group Of Ellisville, PLLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Home Community Base Waiver - EssMSAttendant Care Provider$0$12.8M
    South Central Clinics, Inc.MSRural Health Clinic/Center$0$3.8M
    Ellisville State SchoolMSIntellectual Disabilities Intermediate Care Facility$0$2.1M
    Joseph DanfordMSFamily Medicine Physician$166.6K$0
    Marlana HedgepethMSNurse Practitioner$98.8K$0
    Lindsay BeardMSFamily Nurse Practitioner$30.1K$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. Mississippi Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Mississippi Distribution
    Dental Group Of Ellisville, PLLC — 1 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Mississippi