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

Why is the Medicaid comparison limited to New Jersey 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. New Jersey (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.

Childsmiles, PA (NPI 1568618304)

Field	Value
Entity Type	Organization
Organization	Childsmiles, PA
Address	66 Somme St
City	Newark
State	NJ
ZIP	07105
Taxonomy	Dentist
NPI Enumerated	August 12, 2008

Payer Source	Total Paid
Medicaid	$28.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

63 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2392	Post 2 surface resin‑based composite	49,970	$70	$3.4M
D1120	Prophylaxis–child	74,180	$40	$3M
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	85,180	$30	$2.1M
D0120	Periodic oral evaluation - established patient	84,520	$20	$2M
D1351	Sealant - per tooth	103,710	$20	$2M
D2391	Resin‑based composite – one surface, posterior	30,740	$50	$1.7M
D8680	N/A	1,250	$1,200	$1.5M
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	25,140	$50	$1.1M
D3330	N/A	1,650	$550	$903.7K
D8670	N/A	16,760	$50	$888.4K

Showing 1–10 of 63

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. New Jersey Distribution

Childsmiles, PA — 19 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Jersey

Full comparison — all codes billed, vs. New Jersey median

63 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D7240	N/A	28	70	240	$290	$365.6K
D8680	N/A	4	50	100	$1,010	$362.3K
D9999	N/A	28	70	100	$150	$262.7K
D8080	N/A	5	60	150	$680	$259.7K
D8670	N/A	11	200	1,260	$60	$251.6K
D2751	N/A	21	150	110	$440	$238.4K
D3330	N/A	10	150	120	$520	$229.4K
D2740	N/A	57	100	130	$420	$214.7K
D7230	N/A	6	50	130	$240	$162.2K
D2930	N/A	14	170	340	$100	$154.2K

Showing 1–10 of 63

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Child Smiles Spec LLC	NJ	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$19.9M
New Jersey Adult Medical Day Care Center Ii	NJ	Adult Day Care Clinic/Center	$0	$7.8M
Julio Hubert	NJ	Internal Medicine Physician	$582.2K	$67.1K
Eduardo Samaniego	NJ	Family Medicine Physician	$122.9K	$201.2K
Sonia Simoes	NJ	Nephrology Physician	$181.2K	$0
Muhammad Abdullah	NJ	Internal Medicine Physician	$94.9K	$79.3K
Firpo Guerrero	NJ	Gastroenterology Physician	$121K	$0

Childsmiles, PA — Billing Profile & Reimbursement Data

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Childsmiles, 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