Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or California for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to California only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. California (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Vital Smiles Alabama Ii PC (NPI 1013474535)

Field	Value
Entity Type	Organization
Organization	Vital Smiles Alabama Ii PC
Address	530 S Main St
City	Orange
State	CA
ZIP	92868
Taxonomy	Dentist
NPI Enumerated	February 21, 2019

Payer Source	Total Paid
Medicaid	$29.2M
Medicare	$0

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 Code	Description	Claims	Avg Paid	Revenue
D2930	N/A	40,970	$90	$3.8M
D1120	Prophylaxis–child	139,860	$30	$3.5M
D0120	Periodic oral evaluation - established patient	204,290	$20	$3.5M
D1208	Topical application of fluoride - excluding varnish	220,370	$10	$2.9M
D1999	N/A	158,210	$20	$2.7M
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	70,020	$30	$2.2M
D0330	N/A	48,940	$40	$2M
D0272	N/A	84,660	$20	$1.3M
D2150	Amalgam - two surfaces, primary or permanent	19,620	$50	$1.1M
D0274	N/A	44,570	$20	$891.4K

Showing 1–10 of 37

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. California Distribution

Vital Smiles Alabama Ii PC — 21 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. California median

37 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	7	720	880	$120	$436.7K
D7240	N/A	156	240	210	$230	$259.8K
D3220	N/A	69	650	660	$100	$259.2K
D3330	N/A	65	620	90	$490	$187.8K
D2740	N/A	364	570	120	$470	$169.1K
D0120	Periodic oral evaluation - established patient	1	5,640	800	$50	$163.8K
D1120	Prophylaxis–child	7	5,260	680	$40	$137.9K
D2150	Amalgam - two surfaces, primary or permanent	8	1,740	500	$70	$113K
D9230	N/A	112	1,060	500	$40	$102.2K
D1351	Sealant - per tooth	24	2,310	760	$30	$96K

Showing 1–10 of 37

Nearby Providers

Other providers in the same ZIP code as Vital Smiles Alabama Ii PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Falck Mobile Health Corp	CA	Land Ambulance	$25.5M	$127.7M
University Of California Irvine	CA	General Acute Care Hospital	$0	$153.1M
St. Joseph Hospital Of Orange	CA	General Acute Care Hospital	$0	$65.9M
Children's Hospital Of Orange County	CA	Children's Hospital	$0	$53.7M
Emergency Medicine Specialists Of Orange County	CA	Emergency Medicine Physician	$0	$42.4M
Maxim Healthcare Services, Inc.	CA	Home Health Agency	$0	$37.3M
Premier Healthcare Services, LLC	CA	Home Health Agency	$0	$35M
Gordian Medical, Inc.	CA	Durable Medical Equipment & Medical Supplies	$0	$27.5M
Bio-medical Applications Of California, Inc.	CA	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$24.6M
Acuity Behavior Solutions LLC	CA	Behavior Analyst	$0	$23.2M

Vital Smiles Alabama Ii PC — Billing Profile & Reimbursement Data

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Vital Smiles Alabama Ii PC — Billing Profile & Reimbursement Data

Sign up for Vital Smiles Alabama Ii PC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References