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

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

Smilesforever LLC (NPI 1710379755)

Field	Value
Entity Type	Organization
Organization	Smilesforever LLC
Address	4511 N Main St
City	Roswell
State	NM
ZIP	88201
Taxonomy	General Practice Dentistry
NPI Enumerated	February 27, 2015

Payer Source	Total Paid
Medicaid	$4.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

34 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D0150	Comprehensive oral evaluation – new or established patient	16,050	$40	$561.6K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…	4,230	$110	$469.2K
D0210	Intraoral - complete series of radiographic images	6,040	$60	$350.1K
D1120	Prophylaxis–child	9,730	$30	$311.4K
D1208	Topical application of fluoride - excluding varnish	17,050	$20	$306.9K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	5,210	$50	$234.3K
D9410	N/A	2,230	$100	$214.3K
D0274	N/A	6,700	$30	$194.4K
D2392	Post 2 surface resin‑based composite	2,620	$70	$194.1K
D0220	Intraoral - periapical first radiographic image	17,120	$10	$188.3K

Showing 1–10 of 34

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. New Mexico Distribution

Smilesforever LLC — 6 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Mexico

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

34 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2392	Post 2 surface resin‑based composite	51	250	430	$70	$143.3K
D1120	Prophylaxis–child	37	380	330	$30	$137.6K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…	6	110	300	$110	$111.3K
D2150	Amalgam - two surfaces, primary or permanent	13	40	190	$70	$98.4K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	57	200	290	$70	$91.7K
D9230	N/A	46	120	310	$30	$90.7K
D0150	Comprehensive oral evaluation – new or established patient	15	440	380	$30	$89.3K
D2391	Resin‑based composite – one surface, posterior	46	230	250	$60	$86.8K
D9410	N/A	2	20	510	$90	$81.7K
D1208	Topical application of fluoride - excluding varnish	22	410	390	$20	$73K

Showing 1–10 of 34

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Aspire Developmental Services, LLC	NM	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$45.5M
Roswell Hospital Corporation	NM	General Acute Care Hospital	$0	$41.3M
Bca Medical Associates, PA	NM	Pediatrics Physician	$0	$41.2M
Lovelace Health System LLC	NM	General Acute Care Hospital	$0	$20.1M
Pathology Consultants Of New Mexico	NM	Anatomic Pathology Physician	$376.7K	$18M
Roswell Clinic Corp	NM	Family Medicine Physician	$0	$14.7M
La Casa De Buena Salud Inc	NM	Federally Qualified Health Center (FQHC)	$0	$11M
Masoud Khorsand- Sahbaie Md P A	NM	Hematology & Oncology Physician	$0	$8.1M
Agape Home Care LLC	NM	Supports Brokerage Agency	$0	$7.4M
Roswell Family Care, LLC	NM	Family Nurse Practitioner	$0	$6.3M

Smilesforever LLC — Billing Profile & Reimbursement Data

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Smilesforever 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

Nearby Providers

Frequently Asked Questions

References