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

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

Happy Smiles LLC (NPI 1407150204)

Field	Value
Entity Type	Organization
Organization	Happy Smiles LLC
Address	2154 Goodman Rd W
City	Horn Lake
State	MS
ZIP	38637
Taxonomy	General Practice Dentistry
NPI Enumerated	January 7, 2011

Payer Source	Total Paid
Medicaid	$17.4M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-focused dental practice: Medicare revenue is none (no Medicare billing on file) while Medicaid revenue totals $17.4M, and the NPI was enumerated on 2011-01-07 (~15 years ago), indicating an established operation that has concentrated billing to a single public payer. The absence of Medicare billing makes the practice materially single‑payer from a program exposure perspective.

Revenue concentration is high: the top 3 Medicaid codes (D1120, D2930, D1351) together account for 35.9% of the provider’s total Medicaid revenue. Those three codes individually represent $2.2M (12.9%), $2M (11.7%), and $2M (11.3%) of Medicaid revenue respectively, signaling reliance on a small set of high-volume services for a large share of income.

The code mix points to a strong pediatric and preventive focus: D1120 (Prophylaxis–child) shows 89.7K claims and $2.2M revenue, D1351 (Sealant - per tooth) shows 73.1K claims and $2M revenue, and D1206 (Topical Fluoride Treatment) shows 82.3K claims and $1.7M revenue. High volumes in child prophylaxis, sealants, and topical fluoride are consistent with a practice structured to deliver high-throughput preventive care for children under Medicaid.

Beyond prevention, the practice also performs substantial restorative and surgical work: D2392 (Post 2 surface resin-based composite) has 12K claims and $1.1M revenue, D2391 (one-surface posterior composite) contributes $483.6K, and D7140 (extraction) accounts for 15.2K claims and $1M revenue. This mix indicates that the clinic handles both routine restorative procedures and a meaningful number of extractions, supporting a full-service general dentistry workflow for pediatric and possibly adolescent populations.

Imaging and evaluation volumes are unusually large, supporting a high patient throughput model: D0230 (periapical additional image) shows 55.2K claims and $441.9K revenue, D0272 shows 45.3K claims and $634.3K revenue, and D0210 (complete series) shows 6.4K claims and $283K revenue. Combined with the preventive codes, these radiology and exam volumes imply frequent, repeated visits consistent with screening, treatment planning, and school‑age preventive programs.

State-level competitive standing is dominant across many high-volume codes: the provider ranks at or near the top of in-state peers for multiple codes (for example, D1206 ranks #1 of 577 providers and D0120 ranks #1 of 542 providers, both labeled 100th percentile extreme outliers). Other top codes also carry top-tier ranks and 97–100th percentiles (for example, D1120 at #2 of 741, D1351 at #4 of 324), indicating the provider is a major statewide participant for core pediatric and preventive dental services.

Many of the provider’s high-volume codes are flagged as extreme outliers or notably above typical state volume, which describes an outsized share of service delivery relative to peers rather than implying irregularity: examples include D1120 (extreme outlier), D1206 (extreme outlier), D0230 (extreme outlier), and D7140 (extreme outlier). This pattern—top ranks plus extreme outlier labels across preventive, diagnostic, and basic surgical codes—signals concentrated operational scale in those service lines within the state Medicaid market.

From a payer and contracting perspective, the combination of an established tenure (~15 years), $17.4M of Medicaid revenue, and a concentrated code mix (top 3 codes = 35.9% of Medicaid revenue) implies meaningful exposure to this single provider for pediatric preventive and basic restorative services. Network and utilization reviews should account for the provider’s dominance in high-volume pediatric codes and the operational model suggested by the claim and payment patterns above.

Medicaid: Complete Services Breakdown

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

30 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1120	Prophylaxis–child	89,700	$30	$2.2M
D2930	N/A	17,370	$120	$2M
D1351	Sealant - per tooth	73,050	$30	$2M
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	82,290	$20	$1.7M
D0120	Periodic oral evaluation - established patient	52,350	$20	$1.3M
D2392	Post 2 surface resin‑based composite	12,000	$90	$1.1M
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	15,160	$70	$1M
D0150	Comprehensive oral evaluation – new or established patient	32,180	$30	$965.4K
D0330	N/A	22,410	$40	$784.4K
D0272	N/A	45,310	$10	$634.3K

Showing 1–10 of 30

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Mississippi Distribution

Happy Smiles LLC — 20 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Mississippi

Full comparison — all codes billed, vs. Mississippi median

30 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	5	160	1,130	$90	$267.6K
D2392	Post 2 surface resin‑based composite	7	360	360	$90	$112.4K
D2934	N/A	8	30	400	$110	$110.3K
D1351	Sealant - per tooth	4	320	570	$20	$96.7K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	1	330	240	$110	$91K
D1120	Prophylaxis–child	2	740	1,040	$20	$79.8K
D3220	N/A	23	100	330	$60	$70.1K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	1	580	640	$20	$57.5K
D2391	Resin‑based composite – one surface, posterior	5	290	290	$70	$57.5K
D0120	Periodic oral evaluation - established patient	1	540	530	$20	$53.8K

Showing 1–10 of 30

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
William Mcalexander	MS	Dentist	$0	$1.5M
Derek Clemmer	MS	Dentist	$0	$1.5M
Daniel Johnston	MS	General Practice Dentistry	$0	$1.3M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Convenient Care Clinic, LLC	MS	Family Nurse Practitioner	$0	$2.9M
Achin Sharma	MS	Family Medicine Physician	$167.9K	$0
Melissa Breitling	MS	Emergency Medicine Physician	$45K	$0

Happy Smiles LLC — Billing Profile & Reimbursement Data

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Happy Smiles LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References