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.

Legacy Smiles Family Dental, PLLC (NPI 1275646259)

Field	Value
Entity Type	Organization
Organization	Legacy Smiles Family Dental, PLLC
Address	1180 N Olive Ave
City	Meridian
State	ID
ZIP	83642
Taxonomy	General Practice Dentistry
NPI Enumerated	August 16, 2006

Payer Source	Total Paid
Medicaid	$449.7K
Medicare	$0

Medicaid: Complete Services Breakdown

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

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	3,290	$70	$236.7K
D2392	Post 2 surface resin‑based composite	1,720	$50	$89.2K
D1120	Prophylaxis–child	920	$60	$53.3K
D0330	N/A	510	$40	$20.3K
D0210	Intraoral - complete series of radiographic images	200	$100	$19.5K
D2391	Resin‑based composite – one surface, posterior	550	$20	$10.5K
D2393	Resin-based composite, three surfaces, posterior	80	$100	$8.2K
D0120	Periodic oral evaluation - established patient	3,890	$1	$3.9K
D0140	Limited oral evaluation – problem focused	240	$20	$3.8K
D0274	N/A	2,390	$1	$2.4K

Showing 1–10 of 18

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

Legacy Smiles Family Dental, PLLC — 0 of 12 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

18 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D1120	Prophylaxis–child	68	250	180	$60	$143K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	30	320	310	$80	$80.8K
D2392	Post 2 surface resin‑based composite	46	190	280	$60	$72.9K
D0210	Intraoral - complete series of radiographic images	48	120	140	$120	$66K
D2393	Resin-based composite, three surfaces, posterior	43	70	140	$120	$41.6K
D0330	N/A	53	170	170	$50	$35.6K
D2391	Resin‑based composite – one surface, posterior	47	140	270	$40	$27.9K
D0150	Comprehensive oral evaluation – new or established patient	112	220	220	$30	$21.2K
D0140	Limited oral evaluation – problem focused	90	200	190	$20	$10.7K
D1351	Sealant - per tooth	69	120	640	$1	$10.3K

Showing 1–10 of 18

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Norco, Inc.	ID	Durable Medical Equipment & Medical Supplies	$0	$41M
Joint School District No. 2	ID	Local Education Agency (LEA)	$0	$34.2M
Chatterbox Speech & Language Center	ID	Speech-Language Pathologist	$0	$10.6M
St. Fillan's, LLC	ID	In Home Supportive Care Agency	$0	$10.5M
Southern Idaho Health Partners LLC	ID	General Practice Physician	$0	$9.2M
Gem State Developmental Center LLC	ID	Developmentally Disabled Services Day Training Agency	$0	$9.1M
Addus Healthcare, Inc.	ID	In Home Supportive Care Agency	$0	$6.1M
Northwest Neurobehavioral Health, LLC	ID	Clinical Social Worker	$0	$5.2M
Idaho Pediatric Therapy Clinic PLLC	ID	Physical Therapist	$0	$3.1M
Cpapnow Inc	ID	Durable Medical Equipment & Medical Supplies	$0	$3.1M

Legacy Smiles Family Dental, PLLC — Billing Profile & Reimbursement Data

Sign up for Legacy Smiles Family Dental, PLLC — Billing Profile & Reimbursement Data policy alerts

Legacy Smiles Family Dental, PLLC — Billing Profile & Reimbursement Data

Sign up for Legacy Smiles Family Dental, PLLC — 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