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

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

Village Smiles (NPI 1386922565)

Field	Value
Entity Type	Organization
Organization	Village Smiles
Address	26 Main St
City	Limerick
State	ME
ZIP	04048
Taxonomy	Dental Hygienist
NPI Enumerated	July 22, 2011

Payer Source	Total Paid
Medicaid	$383.1K
Medicare	$0

Medicaid: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1120	Prophylaxis–child	3,360	$40	$124.3K
D1208	Topical application of fluoride - excluding varnish	5,060	$20	$91.1K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	1,090	$50	$58.6K
D0190	N/A	2,380	$20	$50K
D1310	N/A	1,380	$20	$31.7K
D0274	N/A	330	$40	$12.7K
D1351	Sealant - per tooth	350	$20	$8.5K
D1354	N/A	120	$30	$3.1K
D0210	Intraoral - complete series of radiographic images	10	$90	$1.1K
D1330	N/A	70	$10	$910

Showing 1–10 of 12

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Maine Distribution

Village Smiles — 0 of 12 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maine

Full comparison — all codes billed, vs. Maine median

12 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D1351	Sealant - per tooth	58	80	1,040	$20	$87.6K
D1120	Prophylaxis–child	27	160	500	$30	$56.2K
D1354	N/A	37	50	620	$20	$43.9K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	38	160	300	$40	$34.6K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	178	190	470	$10	$31.8K
D0210	Intraoral - complete series of radiographic images	33	30	150	$60	$23.6K
D0190	N/A	9	50	480	$20	$22.8K
D1310	N/A	7	30	550	$20	$20K
D0274	N/A	44	110	210	$20	$18.9K
D0272	N/A	67	80	310	$20	$18.5K

Showing 1–10 of 12

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Spurwink Services	ME	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$51.2M
Kathryn Galbraith	ME	Family Medicine Physician	$33.6K	$0

Village Smiles — Billing Profile & Reimbursement Data

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Village Smiles — Billing Profile & Reimbursement Data

Sign up for Village Smiles — 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