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.

Smile Solutions Of Delaware PA (NPI 1437476785)

Field	Value
Entity Type	Organization
Organization	Smile Solutions Of Delaware PA
Address	1601 Milltown Rd Ste 25
City	Wilmington
State	DE
ZIP	19808
Taxonomy	Dentist
NPI Enumerated	April 27, 2010

Payer Source	Total Paid
Medicaid	$649.7K
Medicare	$0

Medicaid: Complete Services Breakdown

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

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	2,510	$60	$160.9K
D0120	Periodic oral evaluation - established patient	2,550	$40	$96.9K
D0150	Comprehensive oral evaluation – new or established patient	1,190	$60	$70.3K
D0274	N/A	1,060	$50	$47.6K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	1,500	$30	$46.5K
D2150	Amalgam - two surfaces, primary or permanent	300	$130	$40.3K
D1120	Prophylaxis–child	740	$50	$38.2K
D0220	Intraoral - periapical first radiographic image	1,780	$20	$35.6K
D0210	Intraoral - complete series of radiographic images	450	$80	$34.3K
D0230	Intraoral - periapical each additional radiographic image	1,400	$20	$21K

Showing 1–10 of 18

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

Smile Solutions Of Delaware PA — 0 of 16 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

18 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2392	Post 2 surface resin‑based composite	67	90	490	$220	$366.3K
D2391	Resin‑based composite – one surface, posterior	69	70	320	$180	$192K
D1120	Prophylaxis–child	63	120	960	$50	$163.3K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	38	60	270	$140	$137K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	55	130	1,220	$30	$116.9K
D0120	Periodic oral evaluation - established patient	43	160	800	$40	$110.5K
D2150	Amalgam - two surfaces, primary or permanent	7	10	400	$160	$105.1K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	31	160	330	$60	$82.3K
D0272	N/A	65	80	430	$40	$71.6K
D0274	N/A	42	130	330	$50	$57.4K

Showing 1–10 of 18

Nearby Providers

Other providers in the same ZIP code as Smile Solutions Of Delaware PA, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
State Of Delaware	DE	Local Education Agency (LEA)	$0	$9.2M
Jp Nacchia & Associates, Inc.	DE	In Home Supportive Care Agency	$0	$8.2M
Macklyn Home Care	DE	Home Health Agency	$0	$6.2M
Journeys LLC	DE	Mental Health Counselor	$0	$5M
Resouces For Human Development, Inc.	DE	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$4.3M
Robert M Collins Dds PA	DE	Pediatric Dentistry	$0	$3.2M
Regional Orthopaedic Associates PA	DE	Orthopaedic Surgery Physician	$0	$2.8M
Rockland Surgery Center, L.P.	DE	Anesthesiology Physician	$2.4M	$280K
Limestone Medical Center, LLC	DE	Ambulatory Surgical Clinic/Center	$2.3M	$242.7K
Pace, Inc.	DE	Adult Mental Health Clinic/Center	$0	$2.3M

Smile Solutions Of Delaware PA — Billing Profile & Reimbursement Data

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Smile Solutions Of Delaware PA — 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