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    OpenPayerNPI Medicare & MedicaidChildren And Teen Dental Group
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    Children And Teen Dental Group — Billing Profile & Reimbursement Data

    NPI 1972991248 · Cumming, GA · General Practice Dentistry

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    Children And Teen Dental Group is a general practice dentistry provider located in Cumming, Georgia. This profile covers 0 Medicare and 37 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
    OrganizationChildren And Teen Dental Group
    Address285 Elm St
    CityCumming
    StateGA
    ZIP30040
    TaxonomyGeneral Practice Dentistry
    NPI EnumeratedJanuary 8, 2015

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

    Payer SourceTotal Paid
    Medicaid$7.3M
    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.

    37 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D1120Prophylaxis–child32,830$30$886.5K
    D0120Periodic oral evaluation - established patient38,040$20$722.7K
    D2392Post 2 surface resin‑based composite9,290$80$696.9K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients32,860$20$493K
    D9630N/A18,160$30$490.2K
    D0274N/A14,570$30$408K
    D1351Sealant - per tooth12,370$30$358.8K
    D0272N/A17,030$20$306.6K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth11,640$30$302.7K
    D2930N/A1,910$160$298.6K

    Showing 1–10 of 37

    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

    37 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D7240N/A510580$240$1M
    D2930N/A840300$170$529.9K
    D2392Post 2 surface resin‑based composite280270$90$262.3K
    D7230N/A610420$190$235.3K
    D2391Resin‑based composite – one surface, posterior460190$80$186.8K
    D1351Sealant - per tooth370580$30$176.7K
    D3220N/A1220140$90$175.7K
    D1120Prophylaxis–child4140620$30$173.7K
    D2393Resin-based composite, three surfaces, posterior33060$120$123.5K
    D0120Periodic oral evaluation - established patient4150640$20$117.8K

    Showing 1–10 of 37

    Nearby Providers

    Other providers in the same ZIP code as Children And Teen Dental Group, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Renee L Waters, Md PCGAPediatrics Physician$0$1.7M
    Jagindra MangruGARheumatology Physician$1.6M$0
    Madhavi RayapudiGAInfectious Disease Physician$1.2M$0
    Vikram KhetpalGACardiovascular Disease Physician$912.2K$0
    Scott BeachGACardiovascular Disease Physician$842K$0
    Mehul BhattGAInterventional Cardiology Physician$718.2K$0
    Aman KakkarGACardiovascular Disease Physician$716.3K$0
    Omar KhanGARheumatology Physician$624.3K$0
    Nathan CleaverGADermatology Physician$594.3K$0
    Anupama SharmaGADentist$0$565.9K

    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
    Children And Teen Dental Group — 15 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Georgia