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

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

Smiles 4 Kids P.C. (NPI 1962772657)

Field	Value
Entity Type	Organization
Organization	Smiles 4 Kids P.C.
Address	2400 W. 16th Street
City	Greeley
State	CO
ZIP	80634
Taxonomy	Dentist
NPI Enumerated	January 11, 2012

Payer Source	Total Paid
Medicaid	$5.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

30 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2392	Post 2 surface resin‑based composite	10,310	$130	$1.4M
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	24,340	$20	$486.8K
D1120	Prophylaxis–child	13,780	$40	$482.4K
D2391	Resin‑based composite – one surface, posterior	4,650	$100	$474.1K
D0120	Periodic oral evaluation - established patient	19,470	$20	$467.2K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	8,140	$50	$382.6K
D2930	N/A	2,860	$130	$374.3K
D2393	Resin-based composite, three surfaces, posterior	1,650	$160	$255.9K
D9230	N/A	8,030	$30	$248.9K
D1351	Sealant - per tooth	5,200	$40	$187.3K

Showing 1–10 of 30

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Colorado Distribution

Smiles 4 Kids P.C. — 7 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Colorado

Full comparison — all codes billed, vs. Colorado median

30 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D9223	N/A	85	90	250	$320	$378.4K
D7240	N/A	48	80	430	$270	$348.6K
D2930	N/A	36	160	550	$130	$233K
D9243	N/A	21	30	160	$230	$151.4K
D2392	Post 2 surface resin‑based composite	7	690	290	$130	$148K
D9222	N/A	86	90	240	$110	$123.3K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	128	420	290	$90	$90.4K
D2393	Resin-based composite, three surfaces, posterior	22	310	120	$160	$84.5K
D2391	Resin‑based composite – one surface, posterior	19	530	200	$100	$83.5K
D1120	Prophylaxis–child	29	690	300	$30	$82.1K

Showing 1–10 of 30

Nearby Providers

Other providers in the same ZIP code as Smiles 4 Kids P.C., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Captain Smiles Of Greeley PC	CO	General Practice Dentistry	$0	$18.7M
Bridging Family LLC	CO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$17.6M
Hero Vision Of Greeley LLC	CO	Optometrist	$0	$15.5M
Altitude Home Care, Inc.	CO	Home Health Agency	$0	$10.2M
Northern Colorado Speech Therapy, LLC	CO	Hearing and Speech Clinic/Center	$0	$8.8M
Uchealth Greeley Hospital	CO	General Acute Care Hospital	$0	$5.9M
Andrea's Angels, Inc.	CO	Home Health Agency	$0	$5.7M
North Colorado Family Medicine	CO	Primary Care Clinic/Center	$0	$5.1M
Colorado Health Providers LLC	CO	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$0	$4.9M
Banner Home Medical Equipment Colorado	CO	Durable Medical Equipment & Medical Supplies	$0	$3.5M

Smiles 4 Kids P.C. — Billing Profile & Reimbursement Data

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Smiles 4 Kids P.C. — Billing Profile & Reimbursement Data

Sign up for Smiles 4 Kids P.C. — 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