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

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

Caring Smiles PLLC (NPI 1104207216)

Field	Value
Entity Type	Organization
Organization	Caring Smiles PLLC
Address	8744 W. Fairview Ave
City	Boise
State	ID
ZIP	83704
Taxonomy	Dentist
NPI Enumerated	June 15, 2015

Payer Source	Total Paid
Medicaid	$400.5K
Medicare	$0

Medicaid: Complete Services Breakdown

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

22 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	940	$90	$83.2K
D1120	Prophylaxis–child	1,060	$80	$79.5K
D2392	Post 2 surface resin‑based composite	1,220	$50	$58.4K
D9420	N/A	100	$460	$46.4K
D2393	Resin-based composite, three surfaces, posterior	280	$140	$38.5K
D0210	Intraoral - complete series of radiographic images	120	$110	$13.7K
D0120	Periodic oral evaluation - established patient	1,690	$10	$13.5K
D0330	N/A	310	$30	$10.5K
D2391	Resin‑based composite – one surface, posterior	540	$20	$10.2K
D0150	Comprehensive oral evaluation – new or established patient	520	$20	$9.4K

Showing 1–10 of 22

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Idaho Distribution

Caring Smiles PLLC — 0 of 19 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Idaho

Full comparison — all codes billed, vs. Idaho median

22 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	44	50	750	$70	$171.2K
D1120	Prophylaxis–child	66	250	180	$60	$143K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	88	320	310	$80	$80.8K
D9420	N/A	25	40	180	$150	$80.8K
D2392	Post 2 surface resin‑based composite	59	190	280	$60	$72.9K
D0210	Intraoral - complete series of radiographic images	61	120	140	$120	$66K
D2393	Resin-based composite, three surfaces, posterior	25	70	140	$120	$41.6K
D0330	N/A	67	170	170	$50	$35.6K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	60	110	300	$30	$32.4K
D2391	Resin‑based composite – one surface, posterior	48	140	270	$40	$27.9K

Showing 1–10 of 22

Nearby Providers

Other providers in the same ZIP code as Caring Smiles PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Full Circle Health, Inc.	ID	Federally Qualified Health Center (FQHC)	$0	$53.3M
Community Connections, Inc	ID	Case Management Agency	$0	$30M
K A Health Services LLC	ID	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$13.9M
County Of Ada	ID	Land Ambulance	$2M	$11.4M
Developmental Concepts, Inc.	ID	Developmental Disabilities Clinic/Center	$0	$13.2M
Pathways Of Idaho, LLC	ID	Community/Behavioral Health Agency	$0	$12M
Havenwood Caregiver Services Of Idaho, LLC	ID	In Home Supportive Care Agency	$0	$10.7M
Living Independently Forever, Inc.	ID	Developmentally Disabled Services Day Training Agency	$0	$9.8M
Community Partnerships Of Idaho, Inc.	ID	Developmental Disabilities Clinic/Center	$0	$7.6M
All Horizons Inc	ID	Mental Health Counselor	$0	$6.7M

Caring Smiles PLLC — Billing Profile & Reimbursement Data

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Caring Smiles PLLC — 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