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

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

Sterling Smiles (NPI 1730587601)

Field	Value
Entity Type	Organization
Organization	Sterling Smiles
Address	76 Northeastern Blvd
City	Nashua
State	NH
ZIP	03062
Taxonomy	Dentist
NPI Enumerated	December 9, 2014

Payer Source	Total Paid
Medicaid	$1.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1120	Prophylaxis–child	6,120	$40	$232.7K
D0120	Periodic oral evaluation - established patient	6,870	$30	$212.8K
D1351	Sealant - per tooth	6,300	$30	$201.4K
D2392	Post 2 surface resin‑based composite	1,720	$110	$180.5K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	6,110	$20	$116K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	2,100	$50	$105K
D2391	Resin‑based composite – one surface, posterior	1,040	$100	$99.8K
D3120	N/A	3,450	$20	$79.4K
D0274	N/A	2,300	$30	$75.9K
D0272	N/A	2,450	$30	$63.6K

Showing 1–10 of 15

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. New Hampshire Distribution

Sterling Smiles — 1 of 15 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Hampshire

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

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2140	Amalgam - one surface, primary or permanent	6	10	520	$90	$223.9K
D2150	Amalgam - two surfaces, primary or permanent	5	10	140	$100	$180K
D2392	Post 2 surface resin‑based composite	12	60	330	$110	$167.9K
D2391	Resin‑based composite – one surface, posterior	11	50	150	$100	$103.9K
D1351	Sealant - per tooth	8	70	580	$30	$90.5K
D1120	Prophylaxis–child	16	160	250	$40	$89.7K
D0120	Periodic oral evaluation - established patient	19	190	240	$30	$73.2K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	19	140	200	$50	$51.6K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	12	100	250	$20	$46.5K
D0272	N/A	13	70	440	$30	$45.2K

Showing 1–10 of 15

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nashua School District	NH	Local Education Agency (LEA)	$0	$6.8M
Healthy At Home, Inc	NH	Home Health Agency	$0	$5.2M
Making Waves Speech, Language And Feeding Therapy Inc	NH	Speech-Language Pathologist	$0	$2M
Kids In Motion LLC	NH	Pediatric Occupational Therapist	$0	$1.4M
Step By Step Physical Therapy, LLC	NH	Pediatric Physical Therapist	$0	$1.1M
Northridge Surgical Suites, LLC	NH	Ambulatory Surgical Clinic/Center	$436.6K	$0
Helfman Lasky & Associates P A	NH	Optometrist	$0	$432.7K
Spidaliere Psychological Associates, LLC	NH	Mental Health Counselor	$0	$428K
Tiffany Remy	NH	Behavior Analyst	$0	$390.6K
Dinakar Murthi	NH	Orthopaedic Surgery Physician	$322.7K	$0

Sterling Smiles — Billing Profile & Reimbursement Data

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Sterling Smiles — 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