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    OpenPayerNPI Medicare & MedicaidTaylor Addison
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    Taylor Addison — Billing Profile & Reimbursement Data

    NPI 1154913697 · Atlanta, GA · Pediatric Dentistry

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    Taylor Addison is a pediatric dentistry provider located in Atlanta, Georgia. This profile covers 0 Medicare and 19 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
    OrganizationTaylor Addison
    Address1039 Grant St Se Ste B11
    CityAtlanta
    StateGA
    ZIP30315
    TaxonomyPediatric Dentistry
    NPI EnumeratedFebruary 5, 2021

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

    Payer SourceTotal Paid
    Medicaid$295.7K
    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.

    19 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D1120Prophylaxis–child1,450$30$42K
    D0120Periodic oral evaluation - established patient1,370$30$34.3K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth590$40$26.1K
    D1208Topical application of fluoride - excluding varnish1,290$20$23.2K
    D0330N/A450$50$20.8K
    D0272N/A1,080$20$19.4K
    D1354N/A1,370$10$19.2K
    D2392Post 2 surface resin‑based composite200$90$17.7K
    D1351Sealant - per tooth690$30$17.1K
    D0150Comprehensive oral evaluation – new or established patient450$40$15.6K

    Showing 1–10 of 19

    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

    19 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D2392Post 2 surface resin‑based composite4280270$90$262.3K
    D2391Resin‑based composite – one surface, posterior3760190$80$186.8K
    D1351Sealant - per tooth3370580$30$176.7K
    D1120Prophylaxis–child45140620$30$173.7K
    D0120Periodic oral evaluation - established patient49150640$20$117.8K
    D1208Topical application of fluoride - excluding varnish3390560$20$110.3K
    D0272N/A36110410$20$83.8K
    D0150Comprehensive oral evaluation – new or established patient45130210$30$75.4K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth43120190$30$71K
    D0330N/A3190210$40$66.9K

    Showing 1–10 of 19

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Taylor Addison, 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
    Latoya IfillGAPediatric Dentistry$0$285.4K
    Prathyusha VadlamaniGAGeneral Practice Dentistry$0$280.3K
    Sam KwonGAPediatric Dentistry$0$186.3K
    Jessica YiGAPediatric Dentistry$0$180.2K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Southside Medical Center, Inc.GAFederally Qualified Health Center (FQHC)$0$28.9M
    Dva Healthcare Renal Care IncGAEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$910.5K
    Ft Medical Group, LLCGAClinical Medical Laboratory$568K$177.5K
    Ngozi OrabuezeGAFamily Nurse Practitioner$500K$0
    Quality Care Medical Transportation, LLCGALand Ambulance$339.9K$0
    Patrick AntoineGAInternal Medicine Physician$333.8K$0
    Ahmed NassarGAOphthalmology Physician$96.2K$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 3 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Georgia Distribution
    Taylor Addison — 1 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Georgia