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

Why is the Medicaid comparison limited to Connecticut 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. Connecticut (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 In Bloom Pediatric Dentsitry (NPI 1346623600)

Field	Value
Entity Type	Organization
Organization	Smiles In Bloom Pediatric Dentsitry
Address	137 Prospect Hill Rd
City	East Windsor
State	CT
ZIP	06088
Taxonomy	Pediatric Dentistry
NPI Enumerated	July 6, 2015

Payer Source	Total Paid
Medicaid	$6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

16 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1120	Prophylaxis–child	30,710	$40	$1.3M
D0120	Periodic oral evaluation - established patient	24,940	$30	$822.9K
D1208	Topical application of fluoride - excluding varnish	29,740	$30	$802.9K
D2392	Post 2 surface resin‑based composite	6,490	$100	$662.4K
D9230	N/A	8,910	$60	$498.9K
D0272	N/A	9,050	$30	$271.6K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	2,460	$110	$261.1K
D2391	Resin‑based composite – one surface, posterior	2,990	$90	$254.3K
D0330	N/A	3,150	$80	$242.2K
D2930	N/A	1,190	$190	$223.3K

Showing 1–10 of 16

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Connecticut Distribution

Smiles In Bloom Pediatric Dentsitry — 5 of 16 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Connecticut

Full comparison — all codes billed, vs. Connecticut median

16 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D8670	N/A	109	120	3,030	$60	$347.8K
D2930	N/A	17	50	340	$170	$246.3K
D2392	Post 2 surface resin‑based composite	21	390	620	$80	$144.8K
D1120	Prophylaxis–child	11	660	570	$40	$120.7K
D2391	Resin‑based composite – one surface, posterior	35	330	430	$60	$89.4K
D9230	N/A	4	110	550	$50	$88.3K
D0120	Periodic oral evaluation - established patient	16	730	700	$30	$80.6K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	24	210	370	$70	$79.3K
D1351	Sealant - per tooth	27	190	580	$30	$70K
D1208	Topical application of fluoride - excluding varnish	7	560	740	$20	$66.4K

Showing 1–10 of 16

Nearby Providers

Other providers in the same ZIP code as Smiles In Bloom Pediatric Dentsitry, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
East Windsor Ambulance Assoc. Inc.	CT	Ambulance	$280.9K	$1.9M

Smiles In Bloom Pediatric Dentsitry — Billing Profile & Reimbursement Data

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Smiles In Bloom Pediatric Dentsitry — Billing Profile & Reimbursement Data

Sign up for Smiles In Bloom Pediatric Dentsitry — 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