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

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

Kool Smiles In-3, PC (NPI 1831284439)

Field	Value
Entity Type	Organization
Organization	Kool Smiles In-3, PC
Address	400 E. Diamond Ave.
City	Evansville
State	IN
ZIP	47711
Taxonomy	General Practice Dentistry
NPI Enumerated	October 3, 2006

Payer Source	Total Paid
Medicaid	$12.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

38 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2930	N/A	12,130	$120	$1.5M
D1351	Sealant - per tooth	54,410	$30	$1.4M
D1120	Prophylaxis–child	39,120	$30	$1.1M
D0120	Periodic oral evaluation - established patient	43,300	$20	$779.4K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	18,880	$40	$755.3K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	37,180	$20	$669.1K
D7240	N/A	1,940	$320	$610.5K
D9230	N/A	20,670	$20	$496K
D0272	N/A	27,410	$20	$493.4K
D0210	Intraoral - complete series of radiographic images	12,660	$40	$468.6K

Showing 1–10 of 38

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Indiana Distribution

Kool Smiles In-3, PC — 17 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Indiana

Full comparison — all codes billed, vs. Indiana median

38 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	10	170	1,180	$130	$370.2K
D7240	N/A	18	80	530	$270	$360.3K
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…	77	350	410	$150	$251K
D1351	Sealant - per tooth	3	450	780	$20	$118.4K
D2934	N/A	12	10	250	$130	$114K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	43	540	460	$70	$106.9K
D7230	N/A	26	50	90	$210	$101.3K
D3220	N/A	10	90	240	$90	$90K
D7250	N/A	44	60	130	$180	$76.9K
D2392	Post 2 surface resin‑based composite	149	720	400	$60	$76.5K

Showing 1–10 of 38

Related Providers

Other providers that share a Tax Identification Number (TIN) with Kool Smiles In-3, PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
East 53rd Street Dental-2, P.C.	IN	General Practice Dentistry	$0	$9M
Kool Smiles In Ft. Wayne, PC	IN	General Practice Dentistry	$0	$7.7M
East 53rd Street Dental-1, PC	IN	General Practice Dentistry	$0	$7.4M
East 53rd Street Dental-3, PC	IN	General Practice Dentistry	$0	$5.2M
East 53rd Street Dental-3, PC	IN	General Practice Dentistry	$0	$4.8M
East 53rd Street Dental-3, PC	IN	General Practice Dentistry	$0	$4.1M
James Homrighausen	IN	Oral and Maxillofacial Surgery (Dentist)	$0	$3.3M
East 53rd Street Dental-3, PC	IN	General Practice Dentistry	$0	$3.3M

Nearby Providers

Other providers in the same ZIP code as Kool Smiles In-3, PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mercy Ambulance Of Evansville Inc	IN	Land Ambulance	$1.8M	$13.6M
Evansville-vanderburgh School Corporation	IN	Local Education Agency (LEA)	$0	$3M
Elizibeth Pittman	IN	Family Nurse Practitioner	$144.9K	$0
Joseph Martz	IN	Geriatric Medicine (Family Medicine) Physician	$99K	$0
Amanda Phelps	IN	Women's Health Nurse Practitioner	$16.7K	$0

Kool Smiles In-3, PC — Billing Profile & Reimbursement Data

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Kool Smiles In-3, PC — 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