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

Why is the Medicaid comparison limited to Utah 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. Utah (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 Utah P.C. (NPI 1275912040)

Field	Value
Entity Type	Organization
Organization	Big Smiles Utah P.C.
Address	2825 E Cottonwood Pkwy
City	Salt Lake City
State	UT
ZIP	84121
Taxonomy	Dentist
NPI Enumerated	May 26, 2015

Payer Source	Total Paid
Medicaid	$1.3M
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
D0150	Comprehensive oral evaluation – new or established patient	2,710	$210	$555.5K
D0120	Periodic oral evaluation - established patient	2,210	$170	$374.2K
D1351	Sealant - per tooth	10,270	$10	$92.4K
D1120	Prophylaxis–child	4,960	$10	$54.6K
D2392	Post 2 surface resin‑based composite	720	$70	$52K
D0230	Intraoral - periapical each additional radiographic image	11,400	$1	$34.2K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	5,150	$10	$25.7K
D0220	Intraoral - periapical first radiographic image	4,690	$10	$23.5K
D0272	N/A	2,420	$10	$21.8K
D2391	Resin‑based composite – one surface, posterior	380	$50	$19.9K

Showing 1–10 of 18

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Utah Distribution

Big Smiles Utah P.C. — 3 of 17 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Utah

Full comparison — all codes billed, vs. Utah median

18 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D0120	Periodic oral evaluation - established patient	114	470	460	$80	$149.8K
D1351	Sealant - per tooth	7	190	620	$30	$60.7K
D2150	Amalgam - two surfaces, primary or permanent	61	220	290	$60	$45K
D2392	Post 2 surface resin‑based composite	34	170	170	$80	$39.4K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	123	150	170	$60	$35.9K
D0220	Intraoral - periapical first radiographic image	33	440	470	$20	$32.8K
D0150	Comprehensive oral evaluation – new or established patient	5	420	110	$100	$30.8K
D1120	Prophylaxis–child	47	420	440	$20	$30.7K
D2391	Resin‑based composite – one surface, posterior	29	110	170	$70	$25.2K
D2140	Amalgam - one surface, primary or permanent	33	170	200	$50	$25.2K

Showing 1–10 of 18

Related Providers

Other providers that share a Tax Identification Number (TIN) with Big Smiles Utah P.C., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Raymond Durham	UT	Dentist	$0	$432.5K

Nearby Providers

Other providers in the same ZIP code as Big Smiles Utah P.C., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Evolve Emod LLC	UT	Home Modifications Contractor	$0	$23.9M
Mountain Land Rehabilitation LLC	UT	Physical Therapist	$0	$4M
Rosewood Assisted Care Inc	UT	Assisted Living Facility	$0	$3.2M
Bristol Hospice - Utah Ii, L.L.C.	UT	Community Based Hospice Care Agency	$0	$2.6M
Journey Treatment Center	UT	Substance Abuse Rehabilitation Facility	$0	$1.9M
Douglas Toole	UT	Foot & Ankle Surgery Podiatrist	$1.6M	$0
J Q Medical Supply, LLC	UT	Durable Medical Equipment & Medical Supplies	$0	$1.2M
Transport Connection, Inc	UT	Private Vehicle	$0	$806.7K
Innovation Medical Group PC	UT	Podiatrist	$0	$741.2K
Utah Gastroenterology LLC	UT	Gastroenterology Physician	$0	$613.8K

Big Smiles Utah P.C. — Billing Profile & Reimbursement Data

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Big Smiles Utah P.C. — Billing Profile & Reimbursement Data

Sign up for Big Smiles Utah P.C. — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References