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    OpenPayerNPI Medicare & MedicaidCharles Puryear
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    Charles Puryear — Billing Profile & Reimbursement Data

    NPI 1396170668 · Atoka, TN · General Practice Dentistry

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    Charles Puryear is a general practice dentistry provider located in Atoka, Tennessee. This profile covers 0 Medicare and 31 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
    OrganizationCharles Puryear
    Address11092 Highway 51 S
    CityAtoka
    StateTN
    ZIP38004
    TaxonomyGeneral Practice Dentistry
    NPI EnumeratedSeptember 5, 2013

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

    Payer SourceTotal Paid
    Medicaid$2.2M
    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.

    31 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D2392Post 2 surface resin‑based composite4,120$80$313K
    D0120Periodic oral evaluation - established patient8,120$30$203.1K
    D2391Resin‑based composite – one surface, posterior2,990$60$188.5K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth4,160$40$183K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients8,160$20$179.4K
    D1120Prophylaxis–child5,000$30$169.8K
    D9230N/A4,950$30$148.4K
    D2393Resin-based composite, three surfaces, posterior1,500$90$130.7K
    D0274N/A3,330$30$83.1K
    D1351Sealant - per tooth2,470$30$76.6K

    Showing 1–10 of 31

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Tennessee median

    31 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D2930N/A87160770$110$399.1K
    D3220N/A71110610$80$167.4K
    D1120Prophylaxis–child111660720$30$135.9K
    D2740N/A6080100$500$122.8K
    D2392Post 2 surface resin‑based composite36470450$70$107K
    D0120Periodic oral evaluation - established patient90720980$20$106.4K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)140370350$60$82.8K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients66650730$20$72.1K
    D1208Topical application of fluoride - excluding varnish348440950$20$71.8K
    D2391Resin‑based composite – one surface, posterior41440280$60$69.8K

    Showing 1–10 of 31

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Professional Dental Alliance Of Tennessee, PLLCTNGeneral Practice Dentistry$0$11.5M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    William JacksonTNHospice and Palliative Medicine (Family Medicine) Physician$64.6K$0
    Tennessee Sleep ManagementTNSleep Disorder Diagnostic Clinic/Center$40.1K$10.1K

    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. Tennessee Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Tennessee Distribution
    Charles Puryear — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee