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

Why is the Medicaid comparison limited to South Carolina 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. South Carolina (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.

First Smiles Dental, PC (NPI 1508169558)

Field	Value
Entity Type	Organization
Organization	First Smiles Dental, PC
Address	1671 Springdale Dr
City	Camden
State	SC
ZIP	29020
Taxonomy	Dental Clinic/Center
NPI Enumerated	December 14, 2010

Payer Source	Total Paid
Medicaid	$3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

21 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1120	Prophylaxis–child	13,230	$40	$463.1K
D0120	Periodic oral evaluation - established patient	17,290	$20	$397.7K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	6,940	$50	$346.9K
D2392	Post 2 surface resin‑based composite	3,050	$110	$319.9K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	19,160	$20	$306.5K
D0272	N/A	15,560	$20	$280K
D9230	N/A	5,050	$30	$161.6K
D2391	Resin‑based composite – one surface, posterior	1,590	$80	$127.3K
D0330	N/A	2,290	$50	$110.1K
D0210	Intraoral - complete series of radiographic images	1,450	$60	$81.2K

Showing 1–10 of 21

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. South Carolina Distribution

First Smiles Dental, PC — 3 of 21 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Carolina

Full comparison — all codes billed, vs. South Carolina median

21 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	114	130	1,060	$150	$371.1K
D2392	Post 2 surface resin‑based composite	54	350	520	$100	$175.3K
D1120	Prophylaxis–child	42	470	600	$30	$156.7K
D9248	N/A	27	50	920	$70	$126.1K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	109	290	380	$90	$125K
D9230	N/A	48	210	1,150	$30	$115.5K
D2391	Resin‑based composite – one surface, posterior	64	300	270	$80	$110.5K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	32	590	850	$50	$104.9K
D0120	Periodic oral evaluation - established patient	31	610	1,060	$20	$100K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	29	410	670	$20	$95.1K

Showing 1–10 of 21

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pediatric Associates PA	SC	Pediatrics Physician	$0	$10.5M
Kershaw Hospital LLC	SC	General Acute Care Hospital	$0	$8M
Medical University Hospital Authority	SC	General Acute Care Hospital	$0	$7M
Kershaw County Board Of Disabilities And Special Needs	SC	Early Intervention Provider Agency	$0	$6.4M
County Of Kershaw	SC	Ambulance	$817.8K	$1.3M
Kershaw County School District	SC	Local Education Agency (LEA)	$0	$2.1M
Kershaw County Adult Day Care Center	SC	Adult Day Care Clinic/Center	$0	$1.6M
Kershaw County Commission On Alcohol And Drug Abuse	SC	Community/Behavioral Health Agency	$0	$1.6M
Lee Jordan	SC	Dermatology Physician	$418.8K	$0
Susan Munn	SC	Family Medicine Physician	$415.2K	$0

First Smiles Dental, PC — Billing Profile & Reimbursement Data

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First Smiles Dental, PC — 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