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

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

Smoky Mountain Pediatric Dentistry, PLLC (NPI 1871916668)

Field	Value
Entity Type	Organization
Organization	Smoky Mountain Pediatric Dentistry, PLLC
Address	550 Town Creek Rd E
City	Lenoir City
State	TN
ZIP	37772
Taxonomy	Dental Clinic/Center
NPI Enumerated	January 29, 2014

Payer Source	Total Paid
Medicaid	$2.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

23 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1120	Prophylaxis–child	14,140	$30	$466.6K
D0120	Periodic oral evaluation - established patient	12,660	$20	$303.9K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	14,060	$20	$295.2K
D2930	N/A	2,820	$100	$289.9K
D2392	Post 2 surface resin‑based composite	3,100	$70	$210.9K
D1351	Sealant - per tooth	4,100	$30	$118.9K
D9248	N/A	1,250	$90	$106.5K
D0272	N/A	4,980	$20	$84.6K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	1,460	$60	$80.5K
D2391	Resin‑based composite – one surface, posterior	1,260	$60	$73K

Showing 1–10 of 23

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Tennessee Distribution

Smoky Mountain Pediatric Dentistry, PLLC — 0 of 22 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Tennessee

Full comparison — all codes billed, vs. Tennessee median

23 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	53	160	770	$110	$399.1K
D3220	N/A	61	110	610	$80	$167.4K
D1120	Prophylaxis–child	44	660	720	$30	$135.9K
D9248	N/A	26	90	450	$80	$116.4K
D2392	Post 2 surface resin‑based composite	56	470	450	$70	$107K
D0120	Periodic oral evaluation - established patient	58	720	980	$20	$106.4K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	88	370	350	$60	$82.8K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	35	650	730	$20	$72.1K
D1208	Topical application of fluoride - excluding varnish	429	440	950	$20	$71.8K
D2391	Resin‑based composite – one surface, posterior	102	440	280	$60	$69.8K

Showing 1–10 of 23

Related Providers

Other providers that share a Tax Identification Number (TIN) with Smoky Mountain Pediatric Dentistry, PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Adam Priestwood	TN	Pediatric Dentistry	$0	$2.3M

Nearby Providers

Other providers in the same ZIP code as Smoky Mountain Pediatric Dentistry, PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pediatric Choice LLC	TN	Pediatrics Physician	$0	$13.1M
Fort Loudoun Medical Center	TN	General Acute Care Hospital	$0	$5.9M
Eye Surgery Center Of Lenoir City, LLC	TN	Ambulatory Surgical Clinic/Center	$489.7K	$41.1K
Matthew Lowrance	TN	Retina Specialist (Ophthalmology) Physician	$502.4K	$0
Louis Reper	TN	Foot & Ankle Surgery Podiatrist	$250.4K	$38K
Michael Craig	TN	Physical Medicine & Rehabilitation Physician	$227.9K	$0
Hassan Nadrous	TN	Pulmonary Disease Physician	$186K	$800
Ioannis Parastatidis	TN	Cardiovascular Disease Physician	$186.2K	$0
Jonathan Shaver	TN	Sports Medicine (Orthopaedic Surgery) Physician	$185.2K	$0
James Milhollin	TN	Internal Medicine Physician	$160.5K	$0

Smoky Mountain Pediatric Dentistry, PLLC — Billing Profile & Reimbursement Data

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Smoky Mountain Pediatric Dentistry, 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

Related Providers

Nearby Providers

Frequently Asked Questions

References