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

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

University Place Smiles PLLC (NPI 1780020677)

Field	Value
Entity Type	Organization
Organization	University Place Smiles PLLC
Address	3670 Bridgeport Way W
City	University Place
State	WA
ZIP	98466
Taxonomy	Dental Clinic/Center
NPI Enumerated	May 17, 2013

Payer Source	Total Paid
Medicaid	$3.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

32 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2392	Post 2 surface resin‑based composite	7,790	$70	$529.9K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	8,100	$50	$396.7K
D0150	Comprehensive oral evaluation – new or established patient	7,150	$40	$264.5K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	4,260	$60	$238.5K
D0330	N/A	5,790	$40	$225.7K
D1208	Topical application of fluoride - excluding varnish	10,940	$20	$196.8K
D2391	Resin‑based composite – one surface, posterior	3,940	$50	$193.3K
D2393	Resin-based composite, three surfaces, posterior	1,870	$90	$176.2K
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…	1,630	$100	$164.9K
D0120	Periodic oral evaluation - established patient	5,860	$30	$158.1K

Showing 1–10 of 32

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Washington Distribution

University Place Smiles PLLC — 1 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. Washington median

32 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	59	190	320	$70	$197.1K
D2392	Post 2 surface resin‑based composite	54	540	990	$60	$188.6K
D7230	N/A	46	50	340	$130	$132.9K
D0120	Periodic oral evaluation - established patient	176	920	690	$20	$131.3K
D2391	Resin‑based composite – one surface, posterior	81	480	670	$50	$119.5K
D1120	Prophylaxis–child	255	730	690	$20	$112.8K
D1351	Sealant - per tooth	203	400	1,120	$20	$103.9K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	64	390	640	$50	$98.8K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	455	730	730	$20	$98.5K
D9630	N/A	73	90	400	$40	$88.5K

Showing 1–10 of 32

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pierce County Fire Dist No 3	WA	Land Ambulance	$649.7K	$18.8M
Medtriq LLC	WA	Primary Care Clinic/Center	$0	$9.6M
Franciscan Health System	WA	Internal Medicine Physician	$0	$6.4M
Renal Care Group Northwest, Inc.	WA	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$4.3M
University Place Pediatric Clinic P S	WA	Pediatrics Physician	$0	$2.8M
Thomas Burghardt	WA	Podiatrist	$310K	$0
Mitra Hanjani	WA	Internal Medicine Physician	$155.7K	$0
Navreet Kaur	WA	Internal Medicine Physician	$120.6K	$0
Mark Nellermoe	WA	Foot & Ankle Surgery Podiatrist	$107.8K	$3K
Stephanie Hanson	WA	Physical Therapist	$100K	$0

University Place Smiles PLLC — Billing Profile & Reimbursement Data

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University Place Smiles PLLC — 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