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    v1.0.28
    OpenPayerNPI Medicare & MedicaidTara Pursely
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    Tara Pursely — Billing Profile & Reimbursement Data

    NPI 1073891925 · Marietta, GA · Dentist

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    Tara Pursely is a dentist provider located in Marietta, Georgia. This profile covers 0 Medicare and 22 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
    OrganizationTara Pursely
    Address1090 Northchase Pkwy Se
    CityMarietta
    StateGA
    ZIP30067
    TaxonomyDentist
    NPI EnumeratedJuly 26, 2011

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

    Payer SourceTotal Paid
    Medicaid$1.5M
    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.

    22 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D1120Prophylaxis–child7,250$30$195.8K
    D2392Post 2 surface resin‑based composite1,740$100$180.8K
    D1351Sealant - per tooth7,070$30$176.7K
    D2391Resin‑based composite – one surface, posterior1,930$80$154.6K
    D0150Comprehensive oral evaluation – new or established patient3,470$40$142.4K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients4,030$20$92.7K
    D0120Periodic oral evaluation - established patient3,970$20$87.3K
    D0330N/A1,570$40$64.2K
    D9230N/A2,650$20$61K
    D0272N/A3,080$20$52.3K

    Showing 1–10 of 22

    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

    22 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D2930N/A2040300$170$529.9K
    D2392Post 2 surface resin‑based composite1380270$90$262.3K
    D2391Resin‑based composite – one surface, posterior760190$80$186.8K
    D1351Sealant - per tooth770580$30$176.7K
    D1120Prophylaxis–child14140620$30$173.7K
    D2393Resin-based composite, three surfaces, posterior213060$120$123.5K
    D0120Periodic oral evaluation - established patient26150640$20$117.8K
    D1208Topical application of fluoride - excluding varnish1890560$20$110.3K
    D0274N/A19110340$30$96.8K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)4370240$70$85.9K

    Showing 1–10 of 22

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Hattiesburg Road Dental, P.C.MSGeneral Practice Dentistry$0$16.2M
    Hattiesburg Road Dental, P.C.MSGeneral Practice Dentistry$0$10.1M
    Hattiesburg Road Dental, P.C.MSGeneral Practice Dentistry$0$8.5M
    Hattiesburg Road Dental, P.C.MSGeneral Practice Dentistry$0$4.1M
    Hattiesburg Road Dental, P.C.MSGeneral Practice Dentistry$0$3.2M
    Evelyn CollierMSGeneral Practice Dentistry$0$1.4M
    Kineshia RoarkMSGeneral Practice Dentistry$0$1.2M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Optum Women's And Children's Health, LLCGADurable Medical Equipment & Medical Supplies$0$160.4M
    Nuestros Ninos Our Kids Pediatrics Inc.GAPediatric Nurse Practitioner$0$11.4M
    Healthtrackrx Of Georgia LLCGAClinical Medical Laboratory$0$1.3M
    Ocmulgee Medical Pathology Association IncGAClinical Medical Laboratory$958.1K$84.9K
    Atlanta Area Psychological Associates, P.C.GAPsychologist$0$1M
    Kayla DawsonGAGeneral Practice Dentistry$0$969.5K
    Alan GardnerGADermatology Physician$800.1K$0
    Northwest Georgia Orthopaedic Surgery Center, LLCGAAmbulatory Surgical Clinic/Center$641K$0
    Shaun LewisGAProfessional Counselor$0$601.3K
    Gi Diagnostics Endoscopy Center, LLCGAEndoscopy Clinic/Center$571.3K$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
    Tara Pursely — 0 of 21 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Georgia