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

Why is the Medicaid comparison limited to New Jersey 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. New Jersey (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.

Tender Smiles 4 Kids Of Monmouth, LLC (NPI 1942315445)

Field	Value
Entity Type	Organization
Organization	Tender Smiles 4 Kids Of Monmouth, LLC
Address	4249 Us Highway 9
City	Freehold
State	NJ
ZIP	07728
Taxonomy	Pediatric Dentistry
NPI Enumerated	August 21, 2006

Payer Source	Total Paid
Medicaid	$9.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

37 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1120	Prophylaxis–child	41,370	$40	$1.6M
D0120	Periodic oral evaluation - established patient	40,040	$20	$961K
D2392	Post 2 surface resin‑based composite	16,210	$50	$875.3K
D1208	Topical application of fluoride - excluding varnish	43,150	$20	$863K
D1351	Sealant - per tooth	35,980	$20	$791.6K
D9248	N/A	6,650	$120	$778.2K
D2930	N/A	6,300	$100	$611.4K
D2391	Resin‑based composite – one surface, posterior	9,140	$50	$438.5K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	8,920	$50	$437K
D3220	N/A	5,430	$60	$309.3K

Showing 1–10 of 37

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. New Jersey Distribution

Tender Smiles 4 Kids Of Monmouth, LLC — 16 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Jersey

Full comparison — all codes billed, vs. New Jersey median

37 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	10	170	340	$100	$154.2K
D9420	N/A	16	40	180	$260	$114K
D9248	N/A	1	30	220	$130	$109.4K
D2933	N/A	3	10	320	$120	$108.6K
D1351	Sealant - per tooth	18	510	780	$20	$106.8K
D2392	Post 2 surface resin‑based composite	15	910	380	$50	$86K
D1120	Prophylaxis–child	13	1,230	340	$30	$76.6K
D0120	Periodic oral evaluation - established patient	15	1,690	610	$20	$60.7K
D3220	N/A	8	130	150	$50	$52.4K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	446	890	360	$20	$50.4K

Showing 1–10 of 37

Nearby Providers

Other providers in the same ZIP code as Tender Smiles 4 Kids Of Monmouth, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Golden Years Care LLC	NJ	Adult Day Care Clinic/Center	$0	$49.5M
Centrastate Medical Center, Inc	NJ	General Acute Care Hospital	$0	$47.4M
Collaborative Support Program Of New Jersey, Inc	NJ	Community/Behavioral Health Agency	$0	$12.2M
Community Care Inc	NJ	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$11.3M
Bhavesh Balar	NJ	Hematology & Oncology Physician	$4.2M	$0
Hisham El-kadi	NJ	Rheumatology Physician	$3M	$0
Elena Ng	NJ	Ophthalmology Physician	$2.4M	$0
Jeffrey Silberberg	NJ	Hematology & Oncology Physician	$2M	$0
Karabi Sinha	NJ	Anatomic Pathology & Clinical Pathology Physician	$1.9M	$0
James Fischkoff	NJ	Rheumatology Physician	$1.1M	$0

Tender Smiles 4 Kids Of Monmouth, LLC — Billing Profile & Reimbursement Data

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Tender Smiles 4 Kids Of Monmouth, 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

Nearby Providers

Frequently Asked Questions

References