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

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

Smiles To Go, LLC (NPI 1043617277)

Field	Value
Entity Type	Organization
Organization	Smiles To Go, LLC
Address	214 Claiborne St
City	Liberty
State	MS
ZIP	39645
Taxonomy	Dentist
NPI Enumerated	December 3, 2014

Payer Source	Total Paid
Medicaid	$5.4M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1351	Sealant - per tooth	91,820	$20	$2.2M
D1120	Prophylaxis–child	34,430	$20	$826.3K
D0150	Comprehensive oral evaluation – new or established patient	24,650	$30	$788.8K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	29,370	$20	$587.4K
D0272	N/A	16,090	$20	$257.4K
D0120	Periodic oral evaluation - established patient	10,250	$30	$256.1K
D0140	Limited oral evaluation – problem focused	7,330	$30	$249.3K
D0274	N/A	4,470	$20	$107.4K
D1208	Topical application of fluoride - excluding varnish	7,170	$10	$86K
D0350	N/A	3,920	$20	$58.8K

Showing 1–10 of 11

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Mississippi Distribution

Smiles To Go, LLC — 9 of 11 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Mississippi

Full comparison — all codes billed, vs. Mississippi median

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D1351	Sealant - per tooth	2	320	570	$20	$96.7K
D1120	Prophylaxis–child	10	740	1,040	$20	$79.8K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	12	580	640	$20	$57.5K
D0120	Periodic oral evaluation - established patient	28	540	530	$20	$53.8K
D0150	Comprehensive oral evaluation – new or established patient	5	700	590	$30	$45.9K
D0272	N/A	11	440	440	$20	$36K
D0140	Limited oral evaluation – problem focused	6	640	350	$30	$30K
D0350	N/A	7	90	250	$20	$27.6K
D0274	N/A	18	430	280	$20	$23.3K
D1208	Topical application of fluoride - excluding varnish	22	540	510	$10	$18.8K

Showing 1–10 of 11

Nearby Providers

Other providers in the same ZIP code as Smiles To Go, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Heather Harden	MS	Family Nurse Practitioner	$33.3K	$355.8K

Smiles To Go, LLC — Billing Profile & Reimbursement Data

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Smiles To Go, LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References