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

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

Smilebuilders Inc (NPI 1528270733)

Field	Value
Entity Type	Organization
Organization	Smilebuilders Inc
Address	1863 Highway 43 S Ste A
City	Canton
State	MS
ZIP	39046
Taxonomy	Dentist
NPI Enumerated	May 3, 2007

Payer Source	Total Paid
Medicaid	$1.8M
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
D1351	Sealant - per tooth	16,730	$30	$418.3K
D1120	Prophylaxis–child	11,210	$20	$268.9K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	8,320	$20	$158K
D0120	Periodic oral evaluation - established patient	5,950	$30	$148.7K
D0330	N/A	4,240	$30	$140K
D0150	Comprehensive oral evaluation – new or established patient	5,180	$30	$134.7K
D2391	Resin‑based composite – one surface, posterior	1,930	$60	$116K
D2392	Post 2 surface resin‑based composite	980	$90	$87.9K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	1,670	$50	$80K
D0272	N/A	4,850	$10	$63K

Showing 1–10 of 21

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Mississippi Distribution

Smilebuilders Inc — 1 of 20 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Mississippi

Full comparison — all codes billed, vs. Mississippi median

21 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D8670	N/A	101	110	2,280	$90	$712.3K
D2392	Post 2 surface resin‑based composite	102	360	360	$90	$112.4K
D1351	Sealant - per tooth	18	320	570	$20	$96.7K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	46	330	240	$110	$91K
D1120	Prophylaxis–child	43	740	1,040	$20	$79.8K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	40	580	640	$20	$57.5K
D2391	Resin‑based composite – one surface, posterior	33	290	290	$70	$57.5K
D0120	Periodic oral evaluation - established patient	47	540	530	$20	$53.8K
D0150	Comprehensive oral evaluation – new or established patient	46	700	590	$30	$45.9K
D9310	N/A	60	70	250	$40	$38.2K

Showing 1–10 of 21

Nearby Providers

Other providers in the same ZIP code as Smilebuilders Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Baptist Homes Inc	MS	Day Training/Habilitation Specialist	$0	$22.8M
State Of Mississippi - University Of Mississippi Medical Center	MS	General Acute Care Hospital	$0	$13.9M
Vibha Vig Md PA	MS	Primary Care Clinic/Center	$0	$6.3M
Baptist Homes Inc	MS	Intellectual Disabilities Intermediate Care Facility	$0	$3.1M
Isd Renal Inc	MS	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.7M
Psp Medical Clinic LLC	MS	Rural Health Clinic/Center	$0	$2.6M
G A Carmichael Family Health Center Inc	MS	Federally Qualified Health Center (FQHC)	$0	$1.9M
Bio-medical Applications Of Mississippi, Inc.	MS	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.6M
Mallory Community Health	MS	Federally Qualified Health Center (FQHC)	$0	$1.5M
Everycare Express Clinic	MS	Clinic/Center	$0	$1.4M

Smilebuilders Inc — Billing Profile & Reimbursement Data

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Smilebuilders Inc — 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