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    OpenPayerNPI Medicare & MedicaidDentistry For Children Of Georgia LLC
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    Dentistry For Children Of Georgia LLC — Billing Profile & Reimbursement Data

    NPI 1790086668 · Atlanta, GA · Pediatric Dentistry

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    Dentistry For Children Of Georgia LLC is a pediatric dentistry provider located in Atlanta, Georgia. This profile covers 0 Medicare and 23 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
    OrganizationDentistry For Children Of Georgia LLC
    Address1350 Spring St Nw Ste 600
    CityAtlanta
    StateGA
    ZIP30309
    TaxonomyPediatric Dentistry
    NPI EnumeratedNovember 9, 2010

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

    Payer SourceTotal Paid
    Medicaid$7.9M
    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.

    23 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D1120Prophylaxis–child35,760$30$1.2M
    D0120Periodic oral evaluation - established patient41,190$20$947.4K
    D2392Post 2 surface resin‑based composite7,780$90$723.5K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients38,610$20$695K
    D0274N/A12,830$30$436.2K
    D9410N/A1,180$370$430.1K
    D0272N/A19,450$20$427.8K
    D2391Resin‑based composite – one surface, posterior5,270$80$405.5K
    D2930N/A2,170$170$366.4K
    D1351Sealant - per tooth10,280$30$339.2K

    Showing 1–10 of 23

    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

    23 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D9420N/A810150$1,150$748.3K
    D2930N/A540300$170$529.9K
    D2392Post 2 surface resin‑based composite480270$90$262.3K
    D2391Resin‑based composite – one surface, posterior260190$80$186.8K
    D1351Sealant - per tooth470580$30$176.7K
    D1120Prophylaxis–child3140620$30$173.7K
    D9410N/A110240$390$140.2K
    D2393Resin-based composite, three surfaces, posterior193060$120$123.5K
    D0120Periodic oral evaluation - established patient2150640$20$117.8K
    D1208Topical application of fluoride - excluding varnish2390560$20$110.3K

    Showing 1–10 of 23

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Dentistry For Children Of Georgia LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    John AmbroseGAPediatric Dentistry$0$732.1K
    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 Dentistry For Children Of Georgia LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Obstetrix Medical Group Of Atlanta, LLCGAMaternal & Fetal Medicine Physician$0$10M
    Shanice FigueroaGANurse Practitioner$2.8M$0
    Kristin BourgGAPhysician Assistant$1.8M$0
    Janice McalisterGANurse Practitioner$1.6M$0
    Michelle JuneauGADermatology Physician$951K$0
    William WilsonGARheumatology Physician$865.7K$0
    David D'heurleGAOphthalmology Physician$672.5K$0
    Georgia West Imaging, PCGADiagnostic Radiology Physician$0$616.2K
    Peachtree Orthopaedic Surgery Center At Piedmont LLCGAOrthopaedic Surgery Physician$605.7K$0
    Piedmont Hospital, IncGAGeneral Acute Care Hospital$0$542.7K

    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
    1 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Georgia Distribution
    Dentistry For Children Of Georgia LLC — 14 of 23 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Georgia