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

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

Jolly Smiles, P.A. (NPI 1437383395)

Field	Value
Entity Type	Organization
Organization	Jolly Smiles, P.A.
Address	102 Sleepy Hollow Dr
City	Middletown
State	DE
ZIP	19709
Taxonomy	General Practice Dentistry
NPI Enumerated	May 6, 2009

Payer Source	Total Paid
Medicaid	$63.3K
Medicare	$0

Medicaid: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D0120	Periodic oral evaluation - established patient	490	$40	$18.5K
D1120	Prophylaxis–child	320	$50	$15.6K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	490	$30	$14.8K
D0220	Intraoral - periapical first radiographic image	200	$20	$4.2K
D0230	Intraoral - periapical each additional radiographic image	160	$20	$2.7K
D1208	Topical application of fluoride - excluding varnish	100	$30	$2.7K
D0150	Comprehensive oral evaluation – new or established patient	40	$60	$2.5K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	30	$60	$1.7K
D0274	N/A	10	$40	$620
D0601	N/A	460	$0	$0

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Delaware Distribution

Jolly Smiles, P.A. — 0 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Delaware

Full comparison — all codes billed, vs. Delaware median

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D1120	Prophylaxis–child	82	120	960	$50	$163.3K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	83	130	1,220	$30	$116.9K
D0120	Periodic oral evaluation - established patient	96	160	800	$40	$110.5K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	140	160	330	$60	$82.3K
D0274	N/A	116	130	330	$50	$57.4K
D0150	Comprehensive oral evaluation – new or established patient	117	150	260	$60	$53.2K
D0230	Intraoral - periapical each additional radiographic image	62	90	480	$20	$52.9K
D0220	Intraoral - periapical first radiographic image	74	110	410	$20	$46.6K
D1208	Topical application of fluoride - excluding varnish	30	50	220	$30	$26.8K
D0601	N/A	24	80	170	$1	$10

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Center For Interventional Pain Spine LLC	DE	Interventional Pain Medicine Physician	$0	$17.6M
Lieske E2e Home Health Care Inc	DE	Home Health Agency	$0	$9.2M
Tobola Health Care Services Inc.	DE	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$4.3M
Delaware Smile Center	DE	General Practice Dentistry	$0	$3.1M
Premier Physical Therapy And Sports Performance Limited Partnership	DE	Physical Therapist	$0	$2.3M
Thrive Real Life Independence, LLC	DE	Developmentally Disabled Services Day Training Agency	$0	$1.2M
Myeyedr Optometry Of Delaware PA	DE	Optometrist	$0	$961.5K
Scy Dental	DE	Dental Clinic/Center	$0	$776.9K
Middletown Familycare Associates LLC	DE	Family Medicine Physician	$0	$719K
Mccormick & Associates Of Middletown, LLC	DE	Psychiatric/Mental Health Clinical Nurse Specialist	$0	$590.7K

Jolly Smiles, P.A. — Billing Profile & Reimbursement Data

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Jolly Smiles, P.A. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References