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

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

Smiles 4 Kids PC (NPI 1467715508)

Field	Value
Entity Type	Organization
Organization	Smiles 4 Kids PC
Address	1148 72nd St E
City	Tacoma
State	WA
ZIP	98404
Taxonomy	General Practice Dentistry
NPI Enumerated	June 22, 2012

Payer Source	Total Paid
Medicaid	$10.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

31 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2930	N/A	11,110	$150	$1.7M
D2391	Resin‑based composite – one surface, posterior	19,880	$50	$1.1M
D2392	Post 2 surface resin‑based composite	15,720	$70	$1.1M
D0120	Periodic oral evaluation - established patient	39,440	$30	$1M
D1120	Prophylaxis–child	38,230	$20	$879.3K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	37,690	$20	$753.9K
D1351	Sealant - per tooth	18,390	$20	$404.6K
D2390	N/A	2,050	$190	$392.1K
D3220	N/A	4,000	$80	$327.7K
D9999	N/A	10,800	$30	$324K

Showing 1–10 of 31

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Washington Distribution

Smiles 4 Kids PC — 9 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. Washington median

31 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	16	160	1,710	$140	$531.8K
D2392	Post 2 surface resin‑based composite	20	540	990	$60	$188.6K
D0120	Periodic oral evaluation - established patient	28	920	690	$20	$131.3K
D2390	N/A	3	40	220	$220	$126.9K
D2391	Resin‑based composite – one surface, posterior	6	480	670	$50	$119.5K
D1120	Prophylaxis–child	22	730	690	$20	$112.8K
D1351	Sealant - per tooth	32	400	1,120	$20	$103.9K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	65	390	640	$50	$98.8K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	27	730	730	$20	$98.5K
D3220	N/A	8	100	560	$80	$90.7K

Showing 1–10 of 31

Nearby Providers

Other providers in the same ZIP code as Smiles 4 Kids PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Puyallup Tribal Health Authority	WA	Primary Care Clinic/Center	$0	$70.4M
Puyallup Tribal Health Authority	WA	Adult Mental Health Clinic/Center	$0	$19.5M
Puyallup Tribal Health Authority	WA	Substance Use Disorder Rehabilitation Clinic/Center	$0	$8.9M
Renal Care Group Northwest, Inc.	WA	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$4.4M
Ross M. Anderson, Anchor Physical Therapy	WA	Physical Therapist	$0	$2.6M
John Ford	WA	Legal Medicine	$105.4K	$950
Mark Kozakowski	WA	Internal Medicine Physician	$49.8K	$0
James Hooper	WA	Family Medicine Physician	$31.9K	$0
Mitchell Kamakeeaina-ornelas	WA	Family Medicine Physician	$21.2K	$0
Laramie Lunday	WA	Family Medicine Physician	$12K	$0

Smiles 4 Kids PC — Billing Profile & Reimbursement Data

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Smiles 4 Kids PC — Billing Profile & Reimbursement Data

Sign up for Smiles 4 Kids PC — 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