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

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

Smile Spot LLC (NPI 1720353113)

Field	Value
Entity Type	Organization
Organization	Smile Spot LLC
Address	250 Main St S
City	Southbury
State	CT
ZIP	06488
Taxonomy	Dental Clinic/Center
NPI Enumerated	March 19, 2012

Payer Source	Total Paid
Medicaid	$1.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1120	Prophylaxis–child	7,880	$50	$354.5K
D0120	Periodic oral evaluation - established patient	6,740	$30	$229.3K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	7,940	$30	$222.2K
D1351	Sealant - per tooth	2,910	$40	$113.6K
D0330	N/A	770	$80	$64.8K
D0150	Comprehensive oral evaluation – new or established patient	980	$60	$61.9K
D0272	N/A	1,970	$30	$60.9K
D0240	N/A	760	$20	$13.6K
D2930	N/A	50	$190	$9.6K
D9230	N/A	150	$60	$8.6K

Showing 1–10 of 14

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Connecticut Distribution

Smile Spot LLC — 0 of 14 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Connecticut

Full comparison — all codes billed, vs. Connecticut median

14 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	39	50	340	$170	$246.3K
D1120	Prophylaxis–child	58	660	570	$40	$120.7K
D9230	N/A	77	110	550	$50	$88.3K
D0120	Periodic oral evaluation - established patient	77	730	700	$30	$80.6K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	185	210	370	$70	$79.3K
D1351	Sealant - per tooth	35	190	580	$30	$70K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	26	300	300	$20	$61.6K
D0330	N/A	97	330	250	$50	$53.6K
D0150	Comprehensive oral evaluation – new or established patient	148	480	380	$40	$51.4K
D0140	Limited oral evaluation – problem focused	345	480	620	$30	$48.3K

Showing 1–10 of 14

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Family Strong Ct	CT	Behavior Analyst	$0	$4.5M
Pediatric Dental Associates Of Southbury LLC	CT	Pediatric Dentistry	$0	$1.9M
Wexford Behavioral Health Inc	CT	Clinical Social Worker	$0	$1.2M
Southbury Ambulance Association Inc	CT	Land Ambulance	$483.3K	$440.5K
Connecticut Cvs Pharmacy, L.L.C.	CT	Pharmacy	$249.4K	$0
Walgreen Co	CT	Pharmacy	$226.8K	$6K
Chin Cheng Tai	CT	Primary Care Nurse Practitioner	$220.2K	$0
Heritage Village Ambulance Association Inc	CT	Land Ambulance	$163.7K	$50.6K
Carolyn Ajemian	CT	Diagnostic Radiology Physician	$203.7K	$0
Paolo Olcese	CT	Diagnostic Radiology Physician	$163.4K	$0

Smile Spot LLC — Billing Profile & Reimbursement Data

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Smile Spot 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