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

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

Smile Design Orthodontics, LLC (NPI 1891102604)

Field	Value
Entity Type	Organization
Organization	Smile Design Orthodontics, LLC
Address	1047 W Gallman Rd
City	Hazlehurst
State	MS
ZIP	39083
Taxonomy	Dentist
NPI Enumerated	July 14, 2014

Payer Source	Total Paid
Medicaid	$3.8M
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
D8670	N/A	26,510	$90	$2.5M
D8080	N/A	1,040	$780	$807.5K
D0140	Limited oral evaluation – problem focused	3,450	$30	$117.3K
D0340	N/A	2,660	$40	$116.8K
D0330	N/A	2,310	$40	$83K
D9310	N/A	2,090	$40	$81.4K
D0350	N/A	2,470	$20	$52K
D0150	Comprehensive oral evaluation – new or established patient	920	$20	$14.7K
D8060	N/A	10	$1,060	$13.8K
D0470	N/A	110	$50	$5.6K

Showing 1–10 of 17

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Mississippi Distribution

Smile Design Orthodontics, LLC — 2 of 17 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Mississippi

Full comparison — all codes billed, vs. Mississippi median

17 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D8670	N/A	11	110	2,280	$90	$712.3K
D8080	N/A	8	50	180	$830	$462.1K
D1120	Prophylaxis–child	652	740	1,040	$20	$79.8K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	479	580	640	$20	$57.5K
D0120	Periodic oral evaluation - established patient	405	540	530	$20	$53.8K
D0150	Comprehensive oral evaluation – new or established patient	277	700	590	$30	$45.9K
D9310	N/A	11	70	250	$40	$38.2K
D0272	N/A	391	440	440	$20	$36K
D0330	N/A	65	590	340	$30	$35.4K
D0140	Limited oral evaluation – problem focused	41	640	350	$30	$30K

Showing 1–10 of 17

Related Providers

Other providers that share a Tax Identification Number (TIN) with Smile Design Orthodontics, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Chandra Minor	MS	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$1.4M

Nearby Providers

Other providers in the same ZIP code as Smile Design Orthodontics, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hope Healthcare Staffing Agen Cy	MS	In Home Supportive Care Agency	$0	$12.7M
Copiah County Medical Center	MS	Critical Access Hospital	$0	$9.9M
Compassionate Cares	MS	Personal Care Attendant	$0	$9M
Emma Burns	MS	Attendant Care Provider	$0	$8.3M
Lori Case	MS	Family Nurse Practitioner	$4.2M	$0
Keystone Medical Services Of Ms, Inc	MS	Emergency Medicine Physician	$0	$4.1M
Carol Newton	MS	In Home Supportive Care Agency	$0	$2.5M
Copiah County Medical Center	MS	Family Medicine Physician	$0	$2.4M
Bio-medical Applications Of Mississippi, Inc.	MS	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.6M
Kids First Pediatric & Adult Medicine, LLC	MS	Family Health Clinical Nurse Specialist	$0	$1.2M

Smile Design Orthodontics, LLC — Billing Profile & Reimbursement Data

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Smile Design Orthodontics, LLC — 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