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.

A Childs Smile (NPI 1316192370)

Field	Value
Entity Type	Organization
Organization	A Childs Smile
Address	3299 E. 17th Street
City	Ammon
State	ID
ZIP	83406
Taxonomy	Pediatric Dentistry
NPI Enumerated	November 18, 2008

Payer Source	Total Paid
Medicaid	$4.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

32 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1120	Prophylaxis–child	19,640	$70	$1.4M
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	6,200	$110	$656.7K
D0210	Intraoral - complete series of radiographic images	3,330	$150	$505.4K
D2392	Post 2 surface resin‑based composite	6,310	$80	$498.7K
D2930	N/A	5,790	$60	$330K
D9420	N/A	490	$460	$224.8K
D0150	Comprehensive oral evaluation – new or established patient	2,960	$50	$159.6K
D0145	N/A	1,640	$70	$113.3K
D2391	Resin‑based composite – one surface, posterior	2,830	$40	$113.1K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	2,770	$40	$110.7K

Showing 1–10 of 32

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

A Childs Smile — 8 of 23 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

32 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	6	50	750	$70	$171.2K
D1120	Prophylaxis–child	7	250	180	$60	$143K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	8	320	310	$80	$80.8K
D9420	N/A	15	40	180	$150	$80.8K
D2392	Post 2 surface resin‑based composite	5	190	280	$60	$72.9K
D2934	N/A	12	10	190	$280	$70.8K
D0210	Intraoral - complete series of radiographic images	4	120	140	$120	$66K
D0145	N/A	6	30	370	$50	$44K
D2393	Resin-based composite, three surfaces, posterior	19	70	140	$120	$41.6K
D0330	N/A	8	170	170	$50	$35.6K

Showing 1–10 of 32

Nearby Providers

Other providers in the same ZIP code as A Childs Smile, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Royal Journeys LLC	ID	Developmentally Disabled Services Day Training Agency	$0	$38.3M
Just 4 Kids Pediatrics	ID	Pediatrics Physician	$0	$10.8M
Qualicare Inc.	ID	Nursing Care Agency	$0	$10.3M
Pearl Health Clinic	ID	Mental Health Counselor	$0	$9.9M
4 Pillars Of Success LLC	ID	Multi-Specialty Clinic/Center	$0	$8M
4 Pillars Of Success LLC	ID	Psychologist	$0	$3.3M
Lincare Inc.	ID	Durable Medical Equipment & Medical Supplies	$0	$2M
Darryl Moffett	ID	Ophthalmology Physician	$2M	$0
Idaho Falls Pediatric Dentistry, PLLC	ID	Pediatric Dentistry	$0	$1.2M
4 Pillars Of Success LLC	ID	Clinic/Center	$0	$697.9K

A Childs Smile — Billing Profile & Reimbursement Data

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A Childs Smile — Billing Profile & Reimbursement Data

Sign up for A Childs Smile — 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