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

Why is the Medicaid comparison limited to Virginia 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. Virginia (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 Virginia PC (NPI 1225282262)

Field	Value
Entity Type	Organization
Organization	Big Smiles Virginia PC
Address	2010 Corporate Rdg
City	Mc Lean
State	VA
ZIP	22102
Taxonomy	Dentist
NPI Enumerated	November 4, 2008

Payer Source	Total Paid
Medicaid	$7.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1120	Prophylaxis–child	52,060	$30	$1.5M
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	55,580	$20	$944.8K
D1351	Sealant - per tooth	34,100	$30	$886.5K
D0150	Comprehensive oral evaluation – new or established patient	25,410	$30	$686.2K
D1354	N/A	45,570	$10	$637.9K
D2391	Resin‑based composite – one surface, posterior	7,020	$70	$491.5K
D2392	Post 2 surface resin‑based composite	6,190	$80	$488.9K
D0120	Periodic oral evaluation - established patient	30,500	$20	$488K
D1355	N/A	14,140	$30	$424.3K
D0230	Intraoral - periapical each additional radiographic image	33,480	$10	$301.3K

Showing 1–10 of 19

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Virginia Distribution

Big Smiles Virginia PC — 14 of 19 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. Virginia median

19 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2392	Post 2 surface resin‑based composite	20	690	280	$70	$88.1K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	406	420	370	$50	$84.1K
D1120	Prophylaxis–child	7	840	390	$30	$81.6K
D1355	N/A	1	10	870	$30	$80K
D2391	Resin‑based composite – one surface, posterior	11	560	260	$60	$69.7K
D1351	Sealant - per tooth	3	310	340	$30	$61.8K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	7	650	440	$20	$60.7K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	83	1,080	360	$40	$43.9K
D0120	Periodic oral evaluation - established patient	13	1,140	460	$20	$43.1K
D2393	Resin-based composite, three surfaces, posterior	80	280	110	$90	$39K

Showing 1–10 of 19

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Daniel Kendall	VA	Pain Medicine (Anesthesiology) Physician	$2.2M	$0
Mclean Ambulatory Surgery, LLC	VA	Ambulatory Surgical Clinic/Center	$679.6K	$454.2K
Mid-atlantic Pathology Services, Inc.	VA	Clinical Medical Laboratory	$908.3K	$13.1K
Mohammed Al-dalli	VA	Internal Medicine Physician	$262.8K	$43.6K
Danielle Cherrick	VA	Physical Medicine & Rehabilitation Physician	$304.7K	$0
Lawrence Markovitz	VA	Specialist	$293.8K	$0
Christine Tagayun	VA	Cornea and External Diseases Specialist Physician	$291.2K	$0
Steven Hughes	VA	Orthopaedic Surgery Physician	$263.8K	$0
Fishhat Inc	VA	Pharmacist	$203.5K	$0
David Sniezek	VA	Physical Medicine & Rehabilitation Physician	$188.5K	$0

Big Smiles Virginia PC — Billing Profile & Reimbursement Data

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Big Smiles Virginia PC — Billing Profile & Reimbursement Data

Sign up for Big Smiles Virginia PC — 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