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    OpenPayerNPI Medicare & MedicaidEastdale Family Dentistry
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    Eastdale Family Dentistry — Billing Profile & Reimbursement Data

    NPI 1659674315 · Chattanooga, TN · Dentist

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    Eastdale Family Dentistry is a dentist provider located in Chattanooga, Tennessee. This profile covers 0 Medicare and 29 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 TypeOrganization
    OrganizationEastdale Family Dentistry
    Address3210 Wilcox Blvd
    CityChattanooga
    StateTN
    ZIP37411
    TaxonomyDentist
    NPI EnumeratedDecember 17, 2010

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

    Payer SourceTotal Paid
    Medicaid$3.5M
    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.

    29 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D2740N/A970$480$465.6K
    D0120Periodic oral evaluation - established patient14,760$20$339.5K
    D1120Prophylaxis–child10,690$30$331.4K
    D1208Topical application of fluoride - excluding varnish16,280$20$309.3K
    D2391Resin‑based composite – one surface, posterior5,100$60$295.9K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth6,020$40$246.7K
    D2392Post 2 surface resin‑based composite3,060$70$205.2K
    D0274N/A7,170$30$179.3K
    D3330N/A300$480$145.1K
    D2930N/A1,320$110$138.1K

    Showing 1–10 of 29

    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

    29 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D2930N/A72160770$110$399.1K
    D3330N/A166090$560$184K
    D3220N/A97110610$80$167.4K
    D1120Prophylaxis–child63660720$30$135.9K
    D2740N/A480100$500$122.8K
    D2392Post 2 surface resin‑based composite58470450$70$107K
    D0120Periodic oral evaluation - established patient49720980$20$106.4K
    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…23130240$110$89.9K
    D2931N/A91060$130$85.3K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)68370350$60$82.8K

    Showing 1–10 of 29

    Nearby Providers

    Other providers in the same ZIP code as Eastdale Family Dentistry, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Chattanooga Children's Clinic, PLLCTNPediatrics Physician$0$8.4M
    Me Homecare LLCTNIn Home Supportive Care Agency$0$5.3M
    Allied Behavioral Services, Inc.TNBehavior Analyst$0$4.2M
    Pediatric Health Care Associates, PCTNPediatrics Physician$0$3.2M
    Memorial Health Partners Foundation, IncTNInternal Medicine Physician$8.8K$2.7M
    Shimon OamiTNDermatopathology (Pathology) Physician$490.1K$720
    Charles KirbyTNOphthalmology Physician$246K$0
    Robert LevyTNOphthalmology Physician$210.3K$0
    David HuffmanTNEndocrinology, Diabetes & Metabolism Physician$192.5K$0
    Harsha ShanthaveerappaTNPulmonary Disease Physician$118.5K$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. Tennessee Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Tennessee Distribution
    Eastdale Family Dentistry — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee