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

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

Big Smiles Kentucky Psc (NPI 1104152578)

Field	Value
Entity Type	Organization
Organization	Big Smiles Kentucky Psc
Address	424 Lewis Hargett Cir Ste 250
City	Lexington
State	KY
ZIP	40503
Taxonomy	Dentist
NPI Enumerated	October 20, 2009

Payer Source	Total Paid
Medicaid	$12.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

20 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1120	Prophylaxis–child	61,150	$50	$3.3M
D1351	Sealant - per tooth	86,010	$20	$1.8M
D0150	Comprehensive oral evaluation – new or established patient	61,400	$30	$1.7M
D2392	Post 2 surface resin‑based composite	16,460	$70	$1.1M
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	65,850	$20	$1.1M
D2391	Resin‑based composite – one surface, posterior	16,990	$50	$866.3K
D0272	N/A	32,310	$20	$613.8K
D0230	Intraoral - periapical each additional radiographic image	75,280	$10	$602.2K
D0220	Intraoral - periapical first radiographic image	40,710	$10	$447.8K
D0274	N/A	9,300	$30	$288.4K

Showing 1–10 of 20

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Kentucky Distribution

Big Smiles Kentucky Psc — 10 of 18 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kentucky

Full comparison — all codes billed, vs. Kentucky median

20 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D1120	Prophylaxis–child	3	770	500	$50	$127.1K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	219	520	560	$50	$85.2K
D2392	Post 2 surface resin‑based composite	3	630	420	$60	$74.5K
D0150	Comprehensive oral evaluation – new or established patient	2	1,010	740	$30	$61.4K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	53	860	480	$40	$48K
D1351	Sealant - per tooth	1	320	480	$20	$47.1K
D2391	Resin‑based composite – one surface, posterior	3	540	240	$50	$42.7K
D0120	Periodic oral evaluation - established patient	43	730	430	$20	$37.4K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	2	530	340	$20	$32.3K
D0272	N/A	3	530	290	$20	$31.5K

Showing 1–10 of 20

Nearby Providers

Other providers in the same ZIP code as Big Smiles Kentucky Psc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Baptist Healthcare System, Inc	KY	General Acute Care Hospital	$0	$98.1M
Encore Adhc, LLC	KY	Adult Day Care Clinic/Center	$0	$51.9M
Center For Comprehensive Services, Inc	KY	Rehabilitation Hospital	$0	$28.7M
Lhcg Lxx, LLC	KY	Home Health Agency	$0	$27.1M
P & C Labs, LLC	KY	Clinical Medical Laboratory	$427.3K	$18M
Healthfirst Bluegrass Inc	KY	Federally Qualified Health Center (FQHC)	$0	$18.1M
Ndt Care Services, LLC	KY	Community/Behavioral Health Agency	$0	$17.5M
Lexington Urgent Care PLLC	KY	Urgent Care Clinic/Center	$0	$16.7M
Ballard Wright, Md, Psc	KY	Interventional Pain Medicine Physician	$0	$12.4M
Baptist-physicians Surgery Center	KY	Ambulatory Surgical Clinic/Center	$1.3M	$5.8M

Big Smiles Kentucky Psc — Billing Profile & Reimbursement Data

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Big Smiles Kentucky Psc — 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