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    OpenPayerNPI Medicare & MedicaidMississippi Smiles Dentistry LLC
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    Mississippi Smiles Dentistry LLC — Billing Profile & Reimbursement Data

    NPI 1346782893 · Jackson, MS · General Practice Dentistry

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    Mississippi Smiles Dentistry LLC is a general practice dentistry provider located in Jackson, Mississippi. This profile covers 0 Medicare and 24 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationMississippi Smiles Dentistry LLC
    Address310 W Woodrow Wilson Ave Ste 400
    CityJackson
    StateMS
    ZIP39213
    TaxonomyGeneral Practice Dentistry
    NPI EnumeratedNovember 15, 2016

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$2.4M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    24 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D1120Prophylaxis–child13,820$30$400.7K
    D1351Sealant - per tooth14,340$30$372.8K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients12,770$20$306.4K
    D0120Periodic oral evaluation - established patient7,700$30$200.1K
    D2392Post 2 surface resin‑based composite1,910$100$194.8K
    D2930N/A1,520$130$191.9K
    D0150Comprehensive oral evaluation – new or established patient4,000$40$168K
    D0272N/A5,980$20$113.6K
    D0330N/A1,760$50$95.2K
    D0274N/A3,080$30$83.2K

    Showing 1–10 of 24

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Mississippi median

    24 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D2930N/A661601,130$90$267.6K
    D2392Post 2 surface resin‑based composite55360360$90$112.4K
    D1351Sealant - per tooth22320570$20$96.7K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)142330240$110$91K
    D1120Prophylaxis–child337401,040$20$79.8K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients23580640$20$57.5K
    D2391Resin‑based composite – one surface, posterior204290290$70$57.5K
    D0120Periodic oral evaluation - established patient38540530$20$53.8K
    D0145N/A4690260$30$46.3K
    D0150Comprehensive oral evaluation – new or established patient61700590$30$45.9K

    Showing 1–10 of 24

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Mississippi Smiles Dentistry LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mississippi Smiles Dentistry LLCMSGeneral Practice Dentistry$0$10.2M
    William McalexanderMSDentist$0$1.5M
    Derek ClemmerMSDentist$0$1.5M
    Daniel JohnstonMSGeneral Practice Dentistry$0$1.3M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mobile Medic Ambulance Service IncMSAmbulance$7.9M$35.7M
    Kulmoris JoinerMSHome Health Aide$0$41M
    Willowood Developmental CenterMSIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$21.9M
    Central Mississippi Civic Improvement Association, IncMSFederally Qualified Health Center (FQHC)$0$10.7M
    State Of Mississippi- University Of Mississippi Medical CenterMSEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$8.8M
    Central Mississippi Civic Improvement Association, Inc.MSFederally Qualified Health Center (FQHC)$0$8M
    Srs 2 LLCMSClinical Medical Laboratory$5.2M$1.8M
    Sincere Home Care LLC.MSCommunity Health Registered Nurse$0$2.5M
    Molly SullivanMSFamily Nurse Practitioner$1.9M$0
    Deborah WrightMSAssisted Living Facility$0$1.5M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Mississippi Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Mississippi Distribution
    Mississippi Smiles Dentistry LLC — 3 of 23 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Mississippi