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

Why is the Medicaid comparison limited to New Mexico 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. New Mexico (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, LLC (NPI 1346516929)

Field	Value
Entity Type	Organization
Organization	Smiles 4 Kids, LLC
Address	4337 E Main St
City	Farmington
State	NM
ZIP	87402
Taxonomy	General Practice Dentistry
NPI Enumerated	March 28, 2012

Payer Source	Total Paid
Medicaid	$4.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

25 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1120	Prophylaxis–child	23,430	$30	$749.6K
D0120	Periodic oral evaluation - established patient	22,760	$20	$523.5K
D2930	N/A	3,930	$110	$447.8K
D2392	Post 2 surface resin‑based composite	5,380	$70	$398.4K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	4,370	$70	$293.1K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	16,070	$20	$289.2K
D2391	Resin‑based composite – one surface, posterior	4,920	$60	$280.2K
D9230	N/A	9,090	$30	$236.4K
D1208	Topical application of fluoride - excluding varnish	9,350	$20	$168.3K
D0272	N/A	7,770	$20	$155.5K

Showing 1–10 of 25

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. New Mexico Distribution

Smiles 4 Kids, LLC — 3 of 24 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Mexico

Full comparison — all codes billed, vs. New Mexico median

25 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	23	80	870	$120	$456.1K
D3220	N/A	17	60	510	$90	$146.3K
D2392	Post 2 surface resin‑based composite	20	250	430	$70	$143.3K
D1120	Prophylaxis–child	18	380	330	$30	$137.6K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	16	200	290	$70	$91.7K
D9230	N/A	14	120	310	$30	$90.7K
D0150	Comprehensive oral evaluation – new or established patient	74	440	380	$30	$89.3K
D2391	Resin‑based composite – one surface, posterior	17	230	250	$60	$86.8K
D1208	Topical application of fluoride - excluding varnish	37	410	390	$20	$73K
D1351	Sealant - per tooth	26	140	500	$20	$72.4K

Showing 1–10 of 25

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bloom New Mexico LLC	NM	Multi-Specialty Clinic/Center	$0	$7.9M
San Juan Regional Medical Center Inc	NM	Family Medicine Physician	$0	$7.9M
Guardian Angel Home Health, Inc.	NM	Home Health Agency	$0	$5.2M
Skyview Eyecare Inc	NM	Optometrist	$0	$4.9M
Beckland Dental Kids Of Farmington LLC	NM	General Practice Dentistry	$0	$4.3M
Ncdi - Animas Professional, LLP	NM	Pediatric Dentistry	$0	$3.9M
Three Rivers Physical Therapy Inc	NM	Physical Therapy Clinic/Center	$0	$3.1M
San Juan Oral & Facial Surgery	NM	Oral and Maxillofacial Surgery (Dentist)	$0	$2.8M
Desert View, Inc.	NM	Community/Behavioral Health Agency	$0	$2.6M
6588 East Main Farmington LLC	NM	General Practice Dentistry	$0	$1.7M

Smiles 4 Kids, LLC — Billing Profile & Reimbursement Data

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Smiles 4 Kids, LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References