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

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

Smilestars, LLC (NPI 1093879322)

Field	Value
Entity Type	Organization
Organization	Smilestars, LLC
Address	10522 S Glenstone Pl
City	Baton Rouge
State	LA
ZIP	70810
Taxonomy	Pediatric Dentistry
NPI Enumerated	December 21, 2006

Payer Source	Total Paid
Medicaid	$16M
Medicare	$0

Medicaid: Complete Services Breakdown

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

31 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2930	N/A	20,230	$150	$2.9M
D1120	Prophylaxis–child	41,480	$40	$1.5M
D2392	Post 2 surface resin‑based composite	14,630	$100	$1.4M
D0120	Periodic oral evaluation - established patient	48,070	$30	$1.4M
D1208	Topical application of fluoride - excluding varnish	52,980	$20	$1.1M
D2391	Resin‑based composite – one surface, posterior	12,750	$70	$931K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	15,870	$50	$809.2K
D0330	N/A	10,900	$60	$654K
D0272	N/A	29,430	$20	$647.5K
D9248	N/A	5,250	$120	$645.1K

Showing 1–10 of 31

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Louisiana Distribution

Smilestars, LLC — 17 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Louisiana

Full comparison — all codes billed, vs. Louisiana median

31 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	3	140	1,000	$140	$453.6K
D7240	N/A	19	50	510	$240	$239.1K
D2390	N/A	3	10	240	$220	$167.5K
D3220	N/A	7	90	460	$90	$144.8K
D2392	Post 2 surface resin‑based composite	3	400	470	$90	$135.5K
D1120	Prophylaxis–child	8	610	750	$30	$125.3K
D0120	Periodic oral evaluation - established patient	6	730	990	$30	$104.7K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	11	720	670	$40	$93.4K
D9248	N/A	2	60	200	$110	$92.3K
D1351	Sealant - per tooth	10	230	560	$30	$89.2K

Showing 1–10 of 31

Related Providers

Other providers that share a Tax Identification Number (TIN) with Smilestars, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
David Ashley	AL	Oral and Maxillofacial Surgery (Dentist)	$0	$1.3M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Convenient Care LLC	LA	Urgent Care Clinic/Center	$0	$47.8M
Pediatric Services Of America, LLC	LA	Nursing Care Agency	$0	$23.3M
Gulf South Br - Aba, LLC	LA	Clinical Child & Adolescent Psychologist	$0	$8.8M
Dr Johnnie Lynn Hunt LLC	LA	Pediatric Dentistry	$0	$7.2M
Homedica Of Louisiana, LLC	LA	Case Manager/Care Coordinator	$0	$4.7M
Novamed Surgery Center Of Baton Rouge LLC	LA	Ambulatory Surgical Clinic/Center	$875.7K	$61.5K
Eric Oberlander	LA	Neurological Surgery Physician	$614.2K	$0
Charles Bowie	LA	Neurological Surgery Physician	$358.3K	$0
Daniel Naul	LA	Family Medicine Physician	$242.9K	$0
Reginald Griffith	LA	Orthopaedic Surgery Physician	$227K	$0

Smilestars, LLC — Billing Profile & Reimbursement Data

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Smilestars, 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

Related Providers

Nearby Providers

Frequently Asked Questions

References