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

Why is the Medicaid comparison limited to Wisconsin 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. Wisconsin (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.

Sweet Smiles Mt. Pleasant LLC (NPI 1386139970)

Field	Value
Entity Type	Organization
Organization	Sweet Smiles Mt. Pleasant LLC
Address	1515 S Green Bay Rd
City	Mt Pleasant
State	WI
ZIP	53406
Taxonomy	General Practice Dentistry
NPI Enumerated	June 26, 2018

Payer Source	Total Paid
Medicaid	$3.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

25 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2392	Post 2 surface resin‑based composite	7,240	$80	$600.9K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	5,830	$80	$466.5K
D1351	Sealant - per tooth	10,370	$30	$280K
D0150	Comprehensive oral evaluation – new or established patient	8,430	$30	$236K
D1120	Prophylaxis–child	7,270	$30	$232.7K
D1208	Topical application of fluoride - excluding varnish	13,030	$20	$221.5K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…	1,720	$130	$220.5K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	5,120	$30	$174.1K
D2391	Resin‑based composite – one surface, posterior	2,460	$60	$152.6K
D0120	Periodic oral evaluation - established patient	6,610	$20	$152K

Showing 1–10 of 25

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Wisconsin Distribution

Sweet Smiles Mt. Pleasant LLC — 1 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wisconsin

Full comparison — all codes billed, vs. Wisconsin median

25 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	58	80	410	$150	$427.7K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…	35	120	490	$100	$179.5K
D2392	Post 2 surface resin‑based composite	24	270	510	$60	$123.3K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	23	220	430	$50	$111.4K
D1351	Sealant - per tooth	35	340	1,020	$20	$90.2K
D2393	Resin-based composite, three surfaces, posterior	42	140	270	$70	$72.8K
D2391	Resin‑based composite – one surface, posterior	37	240	300	$50	$71.8K
D1120	Prophylaxis–child	40	520	460	$30	$62.6K
D0210	Intraoral - complete series of radiographic images	40	270	360	$40	$60K
D0120	Periodic oral evaluation - established patient	57	500	480	$20	$56K

Showing 1–10 of 25

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sweet Smiles Grafton LLC	WI	General Practice Dentistry	$0	$4.4M
Sweet Smiles Milwaukee LLC	WI	General Practice Dentistry	$0	$3.7M

Nearby Providers

Other providers in the same ZIP code as Sweet Smiles Mt. Pleasant LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Familia Dental Racine LLC	WI	Dental Clinic/Center	$0	$17.9M
Idental LLC	WI	Dentist	$0	$11.7M
Developmental Disabilities Information Service, Inc.	WI	Case Management Agency	$0	$10.9M
Beta Diagnostic Labs LLC	WI	Clinical Medical Laboratory	$1.7M	$8.4M
Mynt Dental Racine LLC	WI	General Practice Dentistry	$0	$4.2M
Covid Care Zone Inc	WI	Clinical Medical Laboratory	$71.4K	$3.6M
Chad Novasic Pt Ltd	WI	Physical Therapist	$0	$2.6M
Paramount Pediatric Dentistry Of Racine	WI	Pediatric Dentistry	$0	$2.3M
Sasan Molavi	WI	Dentist	$0	$2.1M
Wisconsin Smiles	WI	Dental Clinic/Center	$0	$1.4M

Sweet Smiles Mt. Pleasant LLC — Billing Profile & Reimbursement Data

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Sweet Smiles Mt. Pleasant 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

Related Providers

Nearby Providers

Frequently Asked Questions

References