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.

Smile Central Passaic P.C. (NPI 1972737583)

Field	Value
Entity Type	Organization
Organization	Smile Central Passaic P.C.
Address	625 Main Ave
City	Passaic
State	NJ
ZIP	07055
Taxonomy	General Practice Dentistry
NPI Enumerated	May 11, 2009

Payer Source	Total Paid
Medicaid	$10.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

36 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1351	Sealant - per tooth	136,010	$20	$2.3M
D1120	Prophylaxis–child	73,770	$20	$1.8M
D0120	Periodic oral evaluation - established patient	75,850	$20	$1.4M
D2392	Post 2 surface resin‑based composite	29,780	$40	$1.2M
D2391	Resin‑based composite – one surface, posterior	20,250	$30	$688.3K
D1208	Topical application of fluoride - excluding varnish	69,170	$10	$622.5K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	11,720	$30	$398.6K
D0330	N/A	15,280	$20	$351.5K
D0273	N/A	32,370	$10	$291.4K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	12,830	$20	$205.2K

Showing 1–10 of 36

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

Smile Central Passaic P.C. — 18 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

36 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D9999	N/A	41	70	100	$150	$262.7K
D3330	N/A	124	150	120	$520	$229.4K
D2930	N/A	25	170	340	$100	$154.2K
D2750	Crown - porcelain fused to high noble metal	64	110	100	$380	$132.2K
D1351	Sealant - per tooth	3	510	780	$20	$106.8K
D2392	Post 2 surface resin‑based composite	9	910	380	$50	$86K
D1120	Prophylaxis–child	7	1,230	340	$30	$76.6K
D0120	Periodic oral evaluation - established patient	8	1,690	610	$20	$60.7K
D3220	N/A	17	130	150	$50	$52.4K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	33	890	360	$20	$50.4K

Showing 1–10 of 36

Nearby Providers

Other providers in the same ZIP code as Smile Central Passaic P.C., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Accredited Health Services	NJ	Home Health Agency	$0	$87.7M
Prime Healthcare Services - St. Mary's Passaic LLC	NJ	General Acute Care Hospital	$0	$56.2M
Passaic Board Of Education	NJ	Local Education Agency (LEA)	$0	$32.7M
Passaic Pediatrics Ii PA	NJ	Pediatrics Physician	$0	$19.9M
Passaic Pediatrics PA	NJ	Pediatrics Physician	$0	$17.6M
Mer Associates LLC	NJ	Adult Day Care Clinic/Center	$0	$15.7M
2nd Home Passaic Operations, LLC	NJ	Adult Day Care Clinic/Center	$0	$14.5M
Shah Anuj Md PC	NJ	Interventional Cardiology Physician	$0	$8.8M
Kindcare Pediatric Center LLC	NJ	Pediatrics Physician	$0	$7.6M
Prime Healthcare Services - St. Mary's Passaic, LLC	NJ	Mental Illness Community Based Residential Treatment Facility	$0	$7.3M

Smile Central Passaic P.C. — Billing Profile & Reimbursement Data

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Smile Central Passaic P.C. — Billing Profile & Reimbursement Data

Sign up for Smile Central Passaic 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