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

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

Smiles4kids (NPI 1700044625)

Field	Value
Entity Type	Organization
Organization	Smiles4kids
Address	1601 Oxbow Dr Unit 360-a
City	Montrose
State	CO
ZIP	81401
Taxonomy	Dentist
NPI Enumerated	May 28, 2008

Payer Source	Total Paid
Medicaid	$4.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

26 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2930	N/A	4,910	$130	$653.3K
D1120	Prophylaxis–child	11,060	$40	$398K
D1351	Sealant - per tooth	9,140	$40	$347.4K
D0120	Periodic oral evaluation - established patient	11,980	$30	$299.6K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	5,090	$50	$254.3K
D9248	N/A	1,750	$140	$247.3K
D2392	Post 2 surface resin‑based composite	1,670	$130	$216.6K
D0274	N/A	5,390	$30	$177.9K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	6,770	$30	$175.9K
D0230	Intraoral - periapical each additional radiographic image	4,840	$40	$174.3K

Showing 1–10 of 26

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Colorado Distribution

Smiles4kids — 4 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Colorado

Full comparison — all codes billed, vs. Colorado median

26 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	19	160	550	$130	$233K
D2392	Post 2 surface resin‑based composite	136	690	290	$130	$148K
D9248	N/A	3	20	70	$140	$95.3K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	75	420	290	$90	$90.4K
D2393	Resin-based composite, three surfaces, posterior	310	310	120	$160	$84.5K
D2391	Resin‑based composite – one surface, posterior	102	530	200	$100	$83.5K
D1120	Prophylaxis–child	42	690	300	$30	$82.1K
D2934	N/A	9	30	140	$170	$77.2K
D1351	Sealant - per tooth	16	280	450	$30	$73.6K
D3230	N/A	3	10	40	$120	$72.5K

Showing 1–10 of 26

Nearby Providers

Other providers in the same ZIP code as Smiles4kids, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Toc, Inc	CO	Home Health Agency	$0	$17M
Community Options, Inc.	CO	Developmentally Disabled Services Day Training Agency	$0	$15.1M
Pediatric Associates Prof LLC	CO	Pediatrics Physician	$0	$7M
Olathe Community Clinic Inc.	CO	Federally Qualified Health Center (FQHC)	$0	$6.6M
Cedar Point Health LLC	CO	Internal Medicine Physician	$0	$5.6M
Montrose Memorial Hospital, Inc	CO	Emergency Medicine Physician	$0	$4.8M
Montrose Memorial Hospital, Inc	CO	General Acute Care Hospital	$0	$4.2M
Community Options, Inc.	CO	Developmentally Disabled Services Day Training Agency	$0	$3.8M
Treasured Teeth PC	CO	Pediatric Dentistry	$0	$3.7M
Montrose Rural Fire Protection District No 1	CO	Land Ambulance	$426.9K	$964.3K

Smiles4kids — Billing Profile & Reimbursement Data

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Smiles4kids — 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