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

Why is the Medicaid comparison limited to North Dakota 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. North Dakota (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.

Nathan Smith (NPI 1811918329)

Field	Value
Entity Type	Individual
Organization	Nathan Smith
Address	2204 2nd Ave W
City	Williston
State	ND
ZIP	58801
Taxonomy	Pediatric Dentistry
NPI Enumerated	July 21, 2006

Payer Source	Total Paid
Medicaid	$712.5K
Medicare	$0

Medicaid: Complete Services Breakdown

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D0120	Periodic oral evaluation - established patient	4,370	$90	$397.8K
D1351	Sealant - per tooth	2,580	$30	$64.6K
D0150	Comprehensive oral evaluation – new or established patient	460	$120	$55.5K
D2150	Amalgam - two surfaces, primary or permanent	1,020	$40	$44.7K
D1120	Prophylaxis–child	4,600	$10	$41.4K
D0272	N/A	3,150	$10	$28.4K
D2140	Amalgam - one surface, primary or permanent	440	$50	$23K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	4,820	$1	$19.3K
D2930	N/A	220	$60	$13.9K
D0274	N/A	820	$10	$7.4K

Showing 1–10 of 17

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. North Dakota Distribution

Nathan Smith — 1 of 16 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Dakota

Full comparison — all codes billed, vs. North Dakota median

17 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	9	10	1,170	$150	$264.2K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	12	20	300	$90	$76.2K
D1120	Prophylaxis–child	5	80	360	$40	$48.3K
D0120	Periodic oral evaluation - established patient	8	120	350	$40	$46.8K
D1351	Sealant - per tooth	7	30	470	$20	$46.6K
D0140	Limited oral evaluation – problem focused	37	40	100	$70	$44K
D0150	Comprehensive oral evaluation – new or established patient	21	60	250	$50	$27K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	54	80	160	$40	$24.1K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	7	110	230	$20	$23.6K
D0272	N/A	4	50	150	$20	$20.5K

Showing 1–10 of 17

Related Providers

Other providers that share a Tax Identification Number (TIN) with Nathan Smith, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Smith And Macdonald Pediatric Dentistry	UT	Pediatric Dentistry	$0	$2.3M
John Blankenship	UT	Pediatric Dentistry	$0	$1.4M
Scott Bower	UT	Pediatric Dentistry	$0	$1M
Chad Gollaher	UT	Pediatric Dentistry	$0	$759.4K
David Macdonald	UT	Pediatric Dentistry	$0	$729.9K
Matthew Hillstead	UT	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$366.1K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Opportunity Foundation Inc	ND	Developmentally Disabled Services Day Training Agency	$0	$26.3M
Medscan Laboratory Inc	ND	Clinical Medical Laboratory	$7.2M	$14.8M
Mercy Medical Center	ND	Critical Access Hospital	$0	$4M
City Of Williston	ND	Land Ambulance	$398.3K	$2M
Opportunity Foundation Inc	ND	Early Intervention Provider Agency	$0	$1.8M
Mark Raymond	ND	Ophthalmology Physician	$1.7M	$0
Mercy Medical Center	ND	Clinic/Center	$0	$1.3M
Summit Counseling Inc	ND	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$1.2M
Northwest Behavioral Health Clinic	ND	Adult Mental Health Clinic/Center	$0	$872.7K
Ideal Option, PLLC	ND	Clinic/Center	$0	$690.9K

Nathan Smith — Billing Profile & Reimbursement Data

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Nathan Smith — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References