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    v1.0.28
    OpenPayerNPI Medicare & MedicaidPrathyusha Vadlamani
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    Prathyusha Vadlamani — Billing Profile & Reimbursement Data

    NPI 1043691165 · Decatur, GA · General Practice Dentistry

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    Prathyusha Vadlamani is a general practice dentistry provider located in Decatur, Georgia. This profile covers 0 Medicare and 18 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
    OrganizationPrathyusha Vadlamani
    Address1756 Candler Rd
    CityDecatur
    StateGA
    ZIP30032
    TaxonomyGeneral Practice Dentistry
    NPI EnumeratedJune 15, 2015

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

    Payer SourceTotal Paid
    Medicaid$280.3K
    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.

    18 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D1120Prophylaxis–child1,770$40$70.8K
    D0120Periodic oral evaluation - established patient1,260$30$34K
    D2930N/A350$90$30.2K
    D9230N/A1,040$30$26K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients920$30$23.1K
    D1208Topical application of fluoride - excluding varnish690$30$17.2K
    D1351Sealant - per tooth290$50$15.8K
    D2140Amalgam - one surface, primary or permanent330$40$12.3K
    D0150Comprehensive oral evaluation – new or established patient610$20$11.6K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)180$50$7.9K

    Showing 1–10 of 18

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Georgia median

    18 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D2930N/A1940300$170$529.9K
    D1351Sealant - per tooth4570580$30$176.7K
    D1120Prophylaxis–child40140620$30$173.7K
    D0120Periodic oral evaluation - established patient54150640$20$117.8K
    D1208Topical application of fluoride - excluding varnish4590560$20$110.3K
    D0274N/A56110340$30$96.8K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)4270240$70$85.9K
    D0272N/A44110410$20$83.8K
    D0150Comprehensive oral evaluation – new or established patient39130210$30$75.4K
    D0330N/A4890210$40$66.9K

    Showing 1–10 of 18

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Dentistry For Children Of Georgia LLCGAPediatric Dentistry$0$7.9M
    John AmbroseGAPediatric Dentistry$0$732.1K
    Anupama SharmaGADentist$0$565.9K
    Taylor AddisonGAPediatric Dentistry$0$295.7K
    Latoya IfillGAPediatric Dentistry$0$285.4K
    Sam KwonGAPediatric Dentistry$0$186.3K
    Jessica YiGAPediatric Dentistry$0$180.2K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Candler Road Dental, PCGAGeneral Practice Dentistry$0$123.7M
    Tactical Medical Transport LLCGALand Ambulance$517.6K$0
    Newport Integrated Behavioral Healthcare, IncGASubstance Abuse Rehabilitation Facility$0$192.2K
    Yolanda CunninghamGAClinical Social Worker$16.3K$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. Georgia Providers
    0 of 4 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Georgia Distribution
    Prathyusha Vadlamani — 0 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Georgia