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    v1.0.28
    OpenPayerNPI Medicare & MedicaidSmall Smiles Of Wichita, LLC
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    Small Smiles Of Wichita, LLC — Billing Profile & Reimbursement Data

    NPI 1427024868 · Wichita, KS · General Practice Dentistry

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    Small Smiles Of Wichita, LLC is a general practice dentistry provider located in Wichita, Kansas. This profile covers 0 Medicare and 16 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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    Progress1 / 7

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationSmall Smiles Of Wichita, LLC
    Address650 N Carriage Pkwy
    CityWichita
    StateKS
    ZIP67208
    TaxonomyGeneral Practice Dentistry
    NPI EnumeratedFebruary 26, 2006

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

    Payer SourceTotal Paid
    Medicaid$575.6K
    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.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D1351Sealant - per tooth5,350$30$133.8K
    D1120Prophylaxis–child2,760$30$85.5K
    D0120Periodic oral evaluation - established patient3,370$20$70.7K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients3,920$20$66.6K
    D2930N/A460$120$56.5K
    D0272N/A1,930$20$40.6K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth990$40$39.6K
    D0274N/A860$30$25.9K
    D0330N/A530$40$19.7K
    D9230N/A550$20$11.5K

    Showing 1–10 of 16

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Kansas median

    16 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D2930N/A37601,370$120$359.9K
    D1351Sealant - per tooth492101,490$20$189.4K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients55320590$30$120.1K
    D1120Prophylaxis–child62360540$40$108.9K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth91340380$60$75.7K
    D0120Periodic oral evaluation - established patient63390560$20$68.5K
    D2150Amalgam - two surfaces, primary or permanent1420460$60$62.5K
    D0330N/A78240230$50$48.1K
    D0272N/A46230330$20$48.1K
    D2140Amalgam - one surface, primary or permanent1620340$50$47.1K

    Showing 1–10 of 16

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ascension Medical Group Via Christi, PAKSMulti-Specialty Clinic/Center$0$21.2M
    County Of SedgwickKSCase Manager/Care Coordinator$0$15.5M
    County Of SedgwickKSPsychiatry Physician$0$5.9M
    Great Plains Dental Group, LLCKSGeneral Practice Dentistry$0$5.8M
    Mental Health America Of South Central Kansas, Inc.KSCommunity/Behavioral Health Agency$0$5.7M
    Kidspace Pediatric Dentistry,p.aKSPediatric Dentistry$0$4.4M
    Cerebral Palsy Research Foundation Of Kansas, IncKSNon-emergency Medical Transport (VAN)$0$4.3M
    Nassim NabboutKSHematology & Oncology Physician$4.2M$0
    Phu TruongKSHematology & Oncology Physician$4.1M$0
    Grace Home Care, LLCKSHome Health Agency$0$4M

    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. Kansas Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Kansas Distribution
    Small Smiles Of Wichita, LLC — 0 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kansas