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

Why is the Medicaid comparison limited to North 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. North 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.

Smiles For Life Orthodontics (NPI 1609206580)

Field	Value
Entity Type	Organization
Organization	Smiles For Life Orthodontics
Address	7215 Lebanon Rd.
City	Charlotte
State	NC
ZIP	28227
Taxonomy	Orthodontics and Dentofacial Orthopedics Dentistry
NPI Enumerated	November 14, 2013

Payer Source	Total Paid
Medicaid	$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.

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D8670	N/A	38,950	$90	$3.7M
D8080	N/A	2,640	$760	$2M
D8680	N/A	2,170	$710	$1.5M
D0330	N/A	3,760	$50	$203.2K
D0150	Comprehensive oral evaluation – new or established patient	4,670	$40	$200.6K
D0340	N/A	3,760	$50	$180.4K
D0470	N/A	3,700	$40	$148.1K
D0170	N/A	1,390	$30	$40.4K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. North Carolina Distribution

Smiles For Life Orthodontics — 1 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

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

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D8670	N/A	9	190	2,510	$90	$774.4K
D8080	N/A	11	100	290	$780	$666.9K
D8680	N/A	6	60	350	$740	$543.5K
D0150	Comprehensive oral evaluation – new or established patient	80	1,310	490	$40	$55.8K
D0330	N/A	83	1,080	400	$50	$55.8K
D0340	N/A	11	120	290	$50	$52.7K
D0470	N/A	11	120	290	$40	$42.6K
D0170	N/A	4	60	110	$30	$12.1K

Nearby Providers

Other providers in the same ZIP code as Smiles For Life Orthodontics, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Abound Health, LLC	NC	Community/Behavioral Health Agency	$0	$324.1M
Abound Health, LLC	NC	Community/Behavioral Health Agency	$0	$200.8M
United Support Services Inc.	NC	Community/Behavioral Health Agency	$0	$61.6M
Abound Health, LLC	NC	Community/Behavioral Health Agency	$0	$49.8M
Ryan's Place, LLC	NC	Community/Behavioral Health Agency	$0	$24.7M
Divine Health Consultants	NC	Home Health Agency	$0	$22.8M
Still Family, LLC	NC	Community/Behavioral Health Agency	$0	$20.3M
Unique Caring Foundation, Inc	NC	Community/Behavioral Health Agency	$0	$11.2M
Securing Resources For Consumers, Inc.	NC	Community/Behavioral Health Agency	$0	$10.6M
Scott Baker	NC	Physical Therapist	$109.9K	$0

Smiles For Life Orthodontics — Billing Profile & Reimbursement Data

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Smiles For Life Orthodontics — 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