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

Why is the Medicaid comparison limited to South Dakota 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. South Dakota (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.

Eastside Drake Smiles PC (NPI 1043990278)

Field	Value
Entity Type	Organization
Organization	Eastside Drake Smiles PC
Address	4930 E 57th St
City	Sioux Falls
State	SD
ZIP	57108
Taxonomy	General Practice Dentistry
NPI Enumerated	July 21, 2023

Payer Source	Total Paid
Medicaid	$49.5K
Medicare	$0

Medicaid: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1351	Sealant - per tooth	450	$40	$19.4K
D0150	Comprehensive oral evaluation – new or established patient	120	$70	$7.5K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	80	$70	$5.6K
D2392	Post 2 surface resin‑based composite	30	$170	$5.4K
D0330	N/A	50	$90	$4.2K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	100	$30	$3.3K
D0274	N/A	50	$50	$2.8K
D9230	N/A	20	$40	$790
D0220	Intraoral - periapical first radiographic image	20	$20	$330
D0230	Intraoral - periapical each additional radiographic image	10	$20	$230

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. South Dakota Distribution

Eastside Drake Smiles PC — 0 of 10 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Dakota

Full comparison — all codes billed, vs. South Dakota median

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D1351	Sealant - per tooth	25	50	400	$30	$117.3K
D2392	Post 2 surface resin‑based composite	46	60	100	$100	$89.5K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	113	160	270	$30	$50.1K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	98	140	200	$60	$41.2K
D9230	N/A	24	30	190	$30	$40K
D0150	Comprehensive oral evaluation – new or established patient	50	110	100	$60	$30.9K
D0220	Intraoral - periapical first radiographic image	72	90	130	$30	$30.6K
D0230	Intraoral - periapical each additional radiographic image	37	40	300	$10	$27.2K
D0274	N/A	69	110	120	$40	$18.9K
D0330	N/A	20	30	80	$70	$17.8K

Eastside Drake Smiles PC — Billing Profile & Reimbursement Data

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Eastside Drake Smiles PC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Frequently Asked Questions

References