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 Indiana for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Indiana 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. Indiana (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.

Indy East Smiles Youth Dentistry LLC (NPI 1013952696)

Field	Value
Entity Type	Organization
Organization	Indy East Smiles Youth Dentistry LLC
Address	5430 East Washington Street
City	Indianapolis
State	IN
ZIP	46219
Taxonomy	General Practice Dentistry
NPI Enumerated	June 18, 2006

Payer Source	Total Paid
Medicaid	$10.9M
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	12,220	$130	$1.6M
D1351	Sealant - per tooth	47,240	$30	$1.2M
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	54,000	$20	$1M
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	23,140	$40	$995.1K
D1120	Prophylaxis–child	31,870	$30	$956K
D0120	Periodic oral evaluation - established patient	47,250	$20	$945.1K
D2140	Amalgam - one surface, primary or permanent	12,440	$50	$659.5K
D2150	Amalgam - two surfaces, primary or permanent	9,660	$70	$637.8K
D0274	N/A	19,940	$30	$578.2K
D0272	N/A	24,290	$20	$510K

Showing 1–10 of 37

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Indiana Distribution

Indy East Smiles Youth Dentistry LLC — 14 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Indiana

Full comparison — all codes billed, vs. Indiana median

37 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	9	170	1,180	$130	$370.2K
D1354	N/A	43	130	700	$70	$252.9K
D1351	Sealant - per tooth	8	450	780	$20	$118.4K
D2934	N/A	9	10	250	$130	$114K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	83	540	460	$70	$106.9K
D2392	Post 2 surface resin‑based composite	468	720	400	$60	$76.5K
D1120	Prophylaxis–child	11	970	450	$30	$69K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	5	1,230	660	$40	$67K
D2150	Amalgam - two surfaces, primary or permanent	2	150	200	$60	$66.2K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	5	750	530	$20	$56.9K

Showing 1–10 of 37

Nearby Providers

Other providers in the same ZIP code as Indy East Smiles Youth Dentistry LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Health Network, Inc	IN	General Acute Care Hospital	$0	$161.7M
Mid America Clinical Laboratories, LLC	IN	Clinical Medical Laboratory	$0	$20.2M
Acorn Addiction Centers LLC Dba Journey Road Treatment Centers	IN	Addiction Medicine (Family Medicine) Physician	$0	$10.7M
Ameripath Indianapolis PC	IN	Anatomic Pathology & Clinical Pathology Physician	$0	$9.1M
Monumental Behavioral Health Inc	IN	Psychologist	$0	$4.7M
Ameripath Indianapolis PC	IN	Clinical Medical Laboratory	$1.8M	$1.7M
Touch Of Love Home Health Care Inc	IN	Home Health Agency	$0	$3.3M
M.s.d. Of Warren Township	IN	Local Education Agency (LEA)	$0	$3M
Jeromy Shoup	IN	Family Nurse Practitioner	$233.1K	$0
Modeson-samuel Ferrer	IN	Anatomic Pathology & Clinical Pathology Physician	$157.2K	$0

Indy East Smiles Youth Dentistry LLC — Billing Profile & Reimbursement Data

Sign up for Indy East Smiles Youth Dentistry LLC — Billing Profile & Reimbursement Data policy alerts

Indy East Smiles Youth Dentistry LLC — Billing Profile & Reimbursement Data

Sign up for Indy East Smiles Youth Dentistry LLC — 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