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.

Smiles 4 Kids Burley (NPI 1346510237)

Field	Value
Entity Type	Organization
Organization	Smiles 4 Kids Burley
Address	1408 Pomerelle Ave
City	Burley
State	ID
ZIP	83318
Taxonomy	Pediatric Dentistry
NPI Enumerated	January 9, 2012

Payer Source	Total Paid
Medicaid	$3.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

26 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1120	Prophylaxis–child	18,420	$70	$1.4M
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	5,520	$100	$574.2K
D2392	Post 2 surface resin‑based composite	4,680	$80	$351.1K
D2930	N/A	4,860	$60	$281.6K
D0330	N/A	2,170	$110	$228.2K
D2391	Resin‑based composite – one surface, posterior	1,990	$60	$117.4K
D0145	N/A	2,090	$50	$106.5K
D0150	Comprehensive oral evaluation – new or established patient	1,460	$70	$95K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	2,270	$40	$79.3K
D9248	N/A	200	$220	$44.3K

Showing 1–10 of 26

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

Smiles 4 Kids Burley — 4 of 16 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

26 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	9	50	750	$70	$171.2K
D1120	Prophylaxis–child	9	250	180	$60	$143K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	10	320	310	$80	$80.8K
D9420	N/A	22	40	180	$150	$80.8K
D2392	Post 2 surface resin‑based composite	10	190	280	$60	$72.9K
D0145	N/A	5	30	370	$50	$44K
D2393	Resin-based composite, three surfaces, posterior	42	70	140	$120	$41.6K
D0330	N/A	19	170	170	$50	$35.6K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	16	110	300	$30	$32.4K
D2391	Resin‑based composite – one surface, posterior	15	140	270	$40	$27.9K

Showing 1–10 of 26

Related Providers

Other providers that share a Tax Identification Number (TIN) with Smiles 4 Kids Burley, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Trent Pryor	ID	Pediatric Dentistry	$0	$747.4K

Nearby Providers

Other providers in the same ZIP code as Smiles 4 Kids Burley, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Family Health Services Corporation	ID	Federally Qualified Health Center (FQHC)	$0	$10.5M
Ihc Health Services, Inc.	ID	General Acute Care Hospital	$0	$5.1M
A Plus Solutions Center	ID	Developmentally Disabled Services Day Training Agency	$0	$4.6M
Ihc Health Services Inc	ID	Obstetrics & Gynecology Physician	$0	$1.7M
Burley Kids Dental, LLC	ID	Pediatric Dentistry	$0	$1.4M
Anthony J Anderson Md & Assoc LLC	ID	Family Medicine Physician	$0	$1.2M
R Bret Campbell Do & Assoc LLC	ID	Family Medicine Physician	$0	$1.1M
Ambulatory Surgery Center Of Burley, LLC	ID	Ambulatory Surgical Clinic/Center	$504.8K	$560.6K
Burley Physical Therapy And Rehabilitation	ID	Physical Therapy Clinic/Center	$0	$1.1M
River View Urgent Care & Medical Center Inc	ID	Urgent Care Clinic/Center	$0	$799.4K

Smiles 4 Kids Burley — Billing Profile & Reimbursement Data

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Smiles 4 Kids Burley — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References