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.

Just For Grins (NPI 1801074257)

Field	Value
Entity Type	Organization
Organization	Just For Grins
Address	1498 S Saint Francis Dr
City	Santa Fe
State	NM
ZIP	87505
Taxonomy	Pediatric Dentistry
NPI Enumerated	February 7, 2008

Payer Source	Total Paid
Medicaid	$3.9M
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
D1120	Prophylaxis–child	21,950	$30	$702.5K
D0274	N/A	14,300	$30	$414.6K
D0150	Comprehensive oral evaluation – new or established patient	10,780	$40	$377.2K
D2930	N/A	2,790	$120	$329.6K
D1208	Topical application of fluoride - excluding varnish	16,820	$20	$302.8K
D2392	Post 2 surface resin‑based composite	4,100	$70	$299.1K
D0120	Periodic oral evaluation - established patient	11,870	$20	$273K
D1351	Sealant - per tooth	9,480	$20	$227.6K
D9230	N/A	5,910	$30	$159.4K
D0220	Intraoral - periapical first radiographic image	12,410	$10	$136.5K

Showing 1–10 of 26

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

Just For Grins — 2 of 23 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

26 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	29	80	870	$120	$456.1K
D3220	N/A	44	60	510	$90	$146.3K
D2392	Post 2 surface resin‑based composite	29	250	430	$70	$143.3K
D1120	Prophylaxis–child	20	380	330	$30	$137.6K
D9920	N/A	8	20	220	$100	$92.7K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	56	200	290	$70	$91.7K
D9230	N/A	21	120	310	$30	$90.7K
D0150	Comprehensive oral evaluation – new or established patient	25	440	380	$30	$89.3K
D2391	Resin‑based composite – one surface, posterior	210	230	250	$60	$86.8K
D1208	Topical application of fluoride - excluding varnish	23	410	390	$20	$73K

Showing 1–10 of 26

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St Vincent Hospital	NM	General Acute Care Hospital	$0	$46.5M
New Mexico Treatment Services LLC	NM	Community/Behavioral Health Agency	$291.6K	$35.3M
Professional Home Health Care De Santa Fe Y Los Alamos	NM	Home Health Agency	$0	$32.5M
State Of New Mexico	NM	Public Health or Welfare Agency	$0	$15.9M
Whole Child Dental, LLC	NM	Pediatric Dentistry	$0	$13.6M
Presbyterian Medical Services	NM	Federally Qualified Health Center (FQHC)	$0	$13.3M
Santa Fe Indian Hospital	NM	Federal Public Health Clinic/Center	$0	$12.5M
Noesis Integrative Health Inc	NM	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$12.3M
Healthfront PC	NM	Emergency Medicine Physician	$0	$8.9M
Hero Dental Of Santa Fe PC	NM	General Practice Dentistry	$0	$8.3M

Just For Grins — Billing Profile & Reimbursement Data

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Just For Grins — 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