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    v1.0.28
    OpenPayerNPI Medicare & MedicaidAaron Ercole
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    Aaron Ercole — Billing Profile & Reimbursement Data

    NPI 1982886438 · North Providence, RI · Dentist

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    Aaron Ercole is a dentist provider located in North Providence, Rhode Island. This profile covers 0 Medicare and 7 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 TypeIndividual
    OrganizationAaron Ercole
    Address468 Smithfield Rd
    CityNorth Providence
    StateRI
    ZIP02904
    TaxonomyDentist
    NPI EnumeratedNovember 27, 2007

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

    Payer SourceTotal Paid
    Medicaid$419.3K
    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.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D9420N/A560$220$123.1K
    D7230N/A390$240$95K
    D7240N/A320$290$92.2K
    D0140Limited oral evaluation – problem focused1,320$40$47.6K
    D0330N/A560$60$35.8K
    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…160$140$23.1K
    T1015Clinic visit/encounter, all-inclusive20$160$2.5K

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Rhode Island median

    7 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1015Clinic visit/encounter, all-inclusive113120400$130$896.9K
    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…1630350$110$158.2K
    D7240N/A510210$250$143.4K
    D7230N/A210190$190$74.6K
    D9420N/A11070$220$35.8K
    D0330N/A35100400$40$30.7K
    D0140Limited oral evaluation – problem focused39130410$10$18.3K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Aaron Ercole, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Prospect Chartercare Sjhsri, LLCRIGeneral Acute Care Hospital$0$10.9M
    Tri-county Community Action AgencyRIFederally Qualified Health Center (FQHC)$0$7.4M
    St. Joseph Health Services Of RiRIGeneral Acute Care Hospital$0$5.9M
    Thomas DefantiCTAddiction Medicine (Psychiatry & Neurology) Physician$0$3.6M
    Matthew DowneyRIPediatric Dentistry$0$2.8M
    Chelsy CarenRIObstetrics & Gynecology Physician$0$2.3M
    Raj PandeRIDentist$0$2.1M
    John KiangRIPediatric Dentistry$0$1.3M
    Daniel KaneRIPediatric Dentistry$0$1.2M
    Stephanie AvilaRIAdvanced Practice Midwife$0$1.1M

    Nearby Providers

    Other providers in the same ZIP code as Aaron Ercole, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Providence Center IncRIMental Health Clinic/Center (Including Community Mental Health Center)$0$170.9M
    Re-focus Inc.RIDevelopmentally Disabled Services Day Training Agency$0$102.5M
    Hopehealth Hospice & Palliative CareRICommunity Based Hospice Care Agency$0$33.3M
    Mas Medical StaffingRIHome Health Agency$0$24.5M
    Generations Adult Day Health CenterRIAdult Day Care Clinic/Center$0$16.3M
    Global Homecare And Staffing IncRIHome Health Agency$0$8.3M
    Emergency Care Services Of New England PCRIEmergency Medicine Physician$0$6.9M
    State Of Rhode IslandRIClinical Medical Laboratory$570$6.4M
    The Providence CenterRICommunity/Behavioral Health Agency$0$5.9M
    Darlington Memory LaneRIAssisted Living Facility$0$4.9M

    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. Rhode Island Providers
    0 of 4 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Rhode Island Distribution
    Aaron Ercole — 1 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Rhode Island