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.

South Mississippi Smiles Dentistry LLC (NPI 1538504824)

Field	Value
Entity Type	Organization
Organization	South Mississippi Smiles Dentistry LLC
Address	4105 Hospital St
City	Pascagoula
State	MS
ZIP	39581
Taxonomy	General Practice Dentistry
NPI Enumerated	May 1, 2013

Payer Source	Total Paid
Medicaid	$11.5M
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
D1120	Prophylaxis–child	67,240	$20	$1.5M
D2392	Post 2 surface resin‑based composite	16,930	$90	$1.5M
D1351	Sealant - per tooth	52,960	$20	$1.3M
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	63,130	$20	$1.2M
D0120	Periodic oral evaluation - established patient	37,740	$20	$868K
D0150	Comprehensive oral evaluation – new or established patient	23,730	$30	$688.1K
D2930	N/A	4,880	$120	$570.5K
D2391	Resin‑based composite – one surface, posterior	6,790	$70	$461.4K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	5,490	$70	$384.2K
D9230	N/A	15,080	$30	$377.1K

Showing 1–10 of 31

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

South Mississippi Smiles Dentistry LLC — 18 of 25 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

31 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	30	160	1,130	$90	$267.6K
D2392	Post 2 surface resin‑based composite	5	360	360	$90	$112.4K
D1351	Sealant - per tooth	5	320	570	$20	$96.7K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	7	330	240	$110	$91K
D1120	Prophylaxis–child	5	740	1,040	$20	$79.8K
D3220	N/A	62	100	330	$60	$70.1K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	4	580	640	$20	$57.5K
D2391	Resin‑based composite – one surface, posterior	4	290	290	$70	$57.5K
D0120	Periodic oral evaluation - established patient	6	540	530	$20	$53.8K
D0145	N/A	10	90	260	$30	$46.3K

Showing 1–10 of 31

Related Providers

Other providers that share a Tax Identification Number (TIN) with South Mississippi Smiles Dentistry LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
South Mississippi Smiles Dentistry LLC	MS	General Practice Dentistry	$0	$4.8M
William Mcalexander	MS	Dentist	$0	$1.5M
Derek Clemmer	MS	Dentist	$0	$1.5M
Daniel Johnston	MS	General Practice Dentistry	$0	$1.3M

Nearby Providers

Other providers in the same ZIP code as South Mississippi Smiles Dentistry LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Singing River Health System	MS	General Acute Care Hospital	$0	$81.1M
Emergency Room Group Ltd	MS	Emergency Medicine Physician	$0	$9.8M
Childrens Clinic Of Pascagoula PLLC	MS	Pediatrics Physician	$0	$9.5M
Singing River Health System	MS	Internal Medicine Physician	$0	$4.8M
Edward Brown	MS	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$4.3M
Daniel Enger	MS	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$4.1M
Pediatric Care Center, P.L.L.C.	MS	Pediatrics Physician	$0	$3.9M
Mark Stavros	MS	Emergency Medicine Physician	$15.9K	$1.9M
Gulf Coast Ob/gyn, PA	MS	Obstetrics & Gynecology Physician	$0	$1.6M
Premier Eye Clinic , PLLC	MS	Optometrist	$0	$1.2M

South Mississippi Smiles Dentistry LLC — Billing Profile & Reimbursement Data

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South Mississippi Smiles Dentistry LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References