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    OpenPayerNPI Medicare & MedicaidJohn Ambrose
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    John Ambrose — Billing Profile & Reimbursement Data

    NPI 1700972395 · Atlanta, GA · Pediatric Dentistry

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    John Ambrose is a pediatric dentistry provider located in Atlanta, Georgia. This profile covers 0 Medicare and 24 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
    OrganizationJohn Ambrose
    Address4536 Chamblee Dunwoody Rd
    CityAtlanta
    StateGA
    ZIP30338
    TaxonomyPediatric Dentistry
    NPI EnumeratedOctober 4, 2006

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

    Payer SourceTotal Paid
    Medicaid$732.1K
    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.

    24 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D2930N/A1,160$190$217.9K
    D9410N/A150$500$75K
    D2934N/A330$170$54.4K
    D1120Prophylaxis–child1,540$30$50.7K
    D3220N/A480$110$50.4K
    D9999N/A90$400$35.3K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients1,670$20$35K
    D0120Periodic oral evaluation - established patient1,420$20$32.8K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)290$80$23.7K
    D0272N/A940$20$22.6K

    Showing 1–10 of 24

    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

    24 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D2930N/A1240300$170$529.9K
    D2934N/A410330$140$291.4K
    D2392Post 2 surface resin‑based composite4580270$90$262.3K
    D2391Resin‑based composite – one surface, posterior3960190$80$186.8K
    D1351Sealant - per tooth4770580$30$176.7K
    D3220N/A520140$90$175.7K
    D1120Prophylaxis–child43140620$30$173.7K
    D9410N/A510240$390$140.2K
    D0120Periodic oral evaluation - established patient46150640$20$117.8K
    D1510N/A410200$160$116.8K

    Showing 1–10 of 24

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Dentistry For Children Of Georgia LLCGAPediatric Dentistry$0$7.9M
    Jennifer StevensGADentist$0$755.8K
    Anupama SharmaGADentist$0$565.9K
    Taylor AddisonGAPediatric Dentistry$0$295.7K
    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 John Ambrose, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Charles MahakianGAPsychiatry Physician$43.1K$5M
    Uhs Of Peachford, L.P.GAPsychiatric Hospital$0$3.5M
    Ameripro Ems LLCGAAmbulance$2.8M$0
    James YostGAFamily Medicine Physician$97K$1.6M
    Emory Ambulatory Surgery Center At Dunwoody, LLCGAAmbulatory Surgical Clinic/Center$768.8K$0
    Georgia Surgical Professional Services, LLCGAOtolaryngology Physician$0$706.4K
    Northeast Atlanta Vascular Care, LLCGAAmbulatory Surgical Clinic/Center$334.4K$0
    Marianela MatheusGAMental Health Counselor$0$292.1K
    Daniel GoodmanGAInternal Medicine Physician$243.4K$0
    James KinahanGAInternal Medicine Physician$222.5K$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. 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
    John Ambrose — 0 of 24 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Georgia