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.

Sincere Smiles PC (NPI 1881933034)

Field	Value
Entity Type	Organization
Organization	Sincere Smiles PC
Address	2224 1st Ave W Ste 1
City	Williston
State	ND
ZIP	58801
Taxonomy	Dentist
NPI Enumerated	February 7, 2013

Payer Source	Total Paid
Medicaid	$39.9K
Medicare	$0

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1120	Prophylaxis–child	360	$40	$13.3K
D0120	Periodic oral evaluation - established patient	420	$30	$11.7K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	380	$30	$9.4K
D1351	Sealant - per tooth	180	$30	$5.5K

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

Sincere Smiles PC — 0 of 4 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

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D1120	Prophylaxis–child	40	80	360	$40	$48.3K
D0120	Periodic oral evaluation - established patient	57	120	350	$40	$46.8K
D1351	Sealant - per tooth	23	30	470	$20	$46.6K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	50	110	230	$20	$23.6K

Nearby Providers

Other providers in the same ZIP code as Sincere Smiles PC, 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
Nathan Smith	ND	Pediatric Dentistry	$0	$712.5K

Sincere Smiles PC — Billing Profile & Reimbursement Data

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Sincere Smiles PC — Billing Profile & Reimbursement Data

Sign up for Sincere Smiles PC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References