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

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

Indy West Smiles Youth Dentistry, LLC (NPI 1134164445)

Field	Value
Entity Type	Organization
Organization	Indy West Smiles Youth Dentistry, LLC
Address	2802 Lafayette Road
City	Indianapolis
State	IN
ZIP	46222
Taxonomy	General Practice Dentistry
NPI Enumerated	June 19, 2006

Payer Source	Total Paid
Medicaid	$12.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

36 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2930	N/A	12,280	$130	$1.6M
D1351	Sealant - per tooth	53,610	$30	$1.3M
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	63,870	$20	$1.3M
D1120	Prophylaxis–child	38,360	$30	$1.2M
D0120	Periodic oral evaluation - established patient	56,180	$20	$1.1M
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	25,340	$40	$1.1M
D2150	Amalgam - two surfaces, primary or permanent	11,190	$70	$738.6K
D2140	Amalgam - one surface, primary or permanent	13,990	$50	$727.2K
D0274	N/A	22,490	$30	$674.6K
D0272	N/A	27,760	$20	$583K

Showing 1–10 of 36

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Indiana Distribution

Indy West Smiles Youth Dentistry, LLC — 15 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Indiana

Full comparison — all codes billed, vs. Indiana median

36 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	8	170	1,180	$130	$370.2K
D1354	N/A	39	130	700	$70	$252.9K
D1351	Sealant - per tooth	4	450	780	$20	$118.4K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	84	540	460	$70	$106.9K
D2392	Post 2 surface resin‑based composite	546	720	400	$60	$76.5K
D1120	Prophylaxis–child	7	970	450	$30	$69K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	4	1,230	660	$40	$67K
D2150	Amalgam - two surfaces, primary or permanent	1	150	200	$60	$66.2K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	3	750	530	$20	$56.9K
D2140	Amalgam - one surface, primary or permanent	1	110	260	$50	$56.7K

Showing 1–10 of 36

Nearby Providers

Other providers in the same ZIP code as Indy West Smiles Youth Dentistry, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
City Optical Co., Inc.	IN	Optometrist	$0	$7.9M
The Health And Hospital Corporation Of Marion County	IN	Federally Qualified Health Center (FQHC)	$0	$6.8M
Shalom Health Care Center, Inc.	IN	Federally Qualified Health Center (FQHC)	$0	$4.4M
Westend Dental LLC	IN	General Practice Dentistry	$0	$3.8M
Saif Choudhury	IN	Internal Medicine Physician	$492.3K	$0
Howard Cameron	IN	Optometrist	$214.6K	$0
Lanie Huffman	IN	Foot & Ankle Surgery Podiatrist	$65K	$0
Mary Jeanne O'gara	IN	Internal Medicine Physician	$35.6K	$0
David Harrison	IN	Colon & Rectal Surgery Physician	$13.9K	$0

Indy West Smiles Youth Dentistry, LLC — Billing Profile & Reimbursement Data

Sign up for Indy West Smiles Youth Dentistry, LLC — Billing Profile & Reimbursement Data policy alerts

Indy West Smiles Youth Dentistry, LLC — Billing Profile & Reimbursement Data

Sign up for Indy West Smiles Youth Dentistry, LLC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References