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

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

Surfin Smiles LLC (NPI 1205303195)

Field	Value
Entity Type	Organization
Organization	Surfin Smiles LLC
Address	295 N Walsh Dr
City	Casper
State	WY
ZIP	82609
Taxonomy	Pediatric Dentistry
NPI Enumerated	October 29, 2018

Payer Source	Total Paid
Medicaid	$2M
Medicare	$0

Key Findings

SURFIN SMILES LLC appears to operate as a pediatric-focused dental practice: its top revenue codes are D1206 (Topical Fluoride Treatment), D0120 (Periodic oral evaluation - established patient), and D1120 (Prophylaxis–child), which together account for 56.1% of the provider's Medicaid revenue. The high volumes and code descriptions point to a service mix centered on preventive pediatric dentistry and routine recall visits rather than complex restorative or specialty procedures.

This provider is effectively single‑payer in scale: Medicare revenue is listed as none, while Medicaid lifetime revenue is $2M, indicating the practice bills Medicaid exclusively (or predominantly) in the available claims data. The absence of Medicare billing on file suggests limited engagement with older adult care or Medicare-covered adult dental services in this data set.

Revenue concentration is notable at the procedure level: D1206 alone generated $434.4K (21.4% of Medicaid revenue), D0120 generated $362K (17.8%), and D1120 generated $345.2K (17.0%), and the three together are precomputed to represent 56.1% of total Medicaid revenue. That concentration implies the practice’s financial performance is closely tied to preventive and recall services for pediatric patients.

State-level competitive standing for the top preventive codes is strong: SURFIN SMILES ranks #4 of 103 providers for D1206 (97th percentile; labeled notably above typical state volume), #4 of 133 for D0120 (98th percentile; notably above typical state volume), and #4 of 95 for D1120 (97th percentile; notably above typical state volume). Those rankings indicate the provider is a major, high-volume participant in Wyoming for pediatric fluoride, periodic exams, and child prophylaxis.

For restorative and other non-preventive codes the provider’s role is more modest: D2392 (post 2 surface composite) brought in $153.4K and ranks #7 of 28 (78th percentile) and codes such as D1351 (sealant), D0272, and D2930 are described as having typical or unremarkable volumes. This mix suggests SURFIN SMILES focuses on high-volume preventive care while providing some restorative services at levels typical for in-state peers.

Several mid‑tier codes show routine utilization rather than outlier behavior: examples include D0272 ($127.7K, ranks #5 of 40, 90th percentile) and D1351 ($110.7K, ranks #7 of 29, 79th percentile), both characterized in the source data as typical or unremarkable volumes. These entries are consistent with a high-throughput pediatric clinic that performs standard ancillary imaging and sealant procedures alongside its preventive visit volume.

Tenure in the NPI registry is relatively recent: the provider enumerated on 2018-10-29 (~8 years ago), indicating about eight years of claims history under this identifier. That tenure is long enough for stable volume patterns to emerge and for the observed high rankings on preventive pediatric codes to reflect an established local market presence.

From a payer‑strategy and network perspective, SURFIN SMILES’ business profile signals value for Medicaid plans focused on pediatric preventive measures: high volumes of D1206, D0120, and D1120 make the practice a likely anchor for pediatric preventive capacity in Casper and the state. However, the provider’s concentrated reliance on a few high-volume preventive codes (56.1% of Medicaid revenue) means shifts in Medicaid policy or preventive visit utilization could materially affect revenue without a larger mix of higher-value restorative or specialty codes.

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
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	12,410	$40	$434.4K
D0120	Periodic oral evaluation - established patient	11,310	$30	$362K
D1120	Prophylaxis–child	10,150	$30	$345.2K
D2392	Post 2 surface resin‑based composite	1,630	$90	$153.4K
D0272	N/A	5,550	$20	$127.7K
D1351	Sealant - per tooth	3,950	$30	$110.7K
D2930	N/A	810	$130	$104.4K
D9230	N/A	2,420	$30	$60.5K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	1,110	$50	$56.7K
D0220	Intraoral - periapical first radiographic image	3,380	$20	$50.7K

Showing 1–10 of 22

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Wyoming Distribution

Surfin Smiles LLC — 3 of 22 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wyoming

Full comparison — all codes billed, vs. Wyoming median

22 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	7	10	810	$130	$141.9K
D2392	Post 2 surface resin‑based composite	7	30	230	$90	$87.4K
D1351	Sealant - per tooth	7	30	200	$30	$64.6K
D2391	Resin‑based composite – one surface, posterior	12	20	140	$70	$56.9K
D3220	N/A	5	10	300	$80	$52.3K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	4	100	130	$30	$46.4K
D9248	N/A	4	10	270	$100	$40.8K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	8	20	300	$70	$40.1K
D1120	Prophylaxis–child	4	100	110	$30	$39.8K
D9420	N/A	6	10	140	$130	$37.4K

Showing 1–10 of 22

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Everett Maynard	WY	Pediatric Dentistry	$0	$12.7K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northwest Community Action Programs Of Wyoming, Inc.	WY	Developmentally Disabled Services Day Training Agency	$0	$25.8M
Community Health Center Of Central Wyoming, Inc.	WY	Federally Qualified Health Center (FQHC)	$0	$15.3M
Emg Casper Mw LLC	WY	Assisted Living Facility	$0	$5.9M
Casper Children's Center, LLC	WY	Pediatrics Physician	$0	$4M
Wyoming Behavioral Institute	WY	Psychiatric Hospital	$0	$2.7M
John Purviance	WY	Radiation Oncology Physician	$2.5M	$0
Stephen Brown	WY	Child & Adolescent Psychiatry Physician	$0	$2.4M
2nd Street Dental, LLC	WY	Dental Clinic/Center	$0	$2.4M
Solutions Counseling Services LLC	WY	Community/Behavioral Health Agency	$0	$2.1M
Elie Fahed	WY	Medical Oncology Physician	$1.9M	$0

Surfin Smiles LLC — Billing Profile & Reimbursement Data

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Surfin Smiles LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References