Dental
Smithwick, Alfred
Smithwick, Alfred was paid $50K by Medicaid between Jul 2018 and May 2019, across 12 billing codes. Its largest line is D1120, dental cleaning, child — 22% of everything it billed.
33Billing provider infoSMITHWICK, ALFRED
AURORA, CO 80016
AURORA, CO 80016
33aNPI1003045493assigned 07/07/2009
33bProvider typePediatric Dentist
28Total paid$50K
24GClaims1,694
24DCodes billed12
24AFirst – last monthJul 2018 – May 2019
Compared with peers
Next to other Pediatric Dentist providers in Colorado
Rank by total paid#118 of 177
Median peer was paid$122K
This provider vs. median0.4×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 669 | $21K | |
| 2019 | 1,025 | $29K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 22% | 357 | 341 | $11K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 19% | 66 | 28 | $9K |
| D1206 | Topical application of fluoride varnish | 14% | 433 | 410 | $7K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 267 | 257 | $6K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 9.3% | 151 | 140 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.7% | 89 | 80 | $3K |
| D0272 | Bitewings - two radiographic images | 4.4% | 108 | 104 | $2K |
| D1351 | Sealant - per tooth | 4.1% | 60 | 16 | $2K |
| D1110 | Prophylaxis - adult | 4.0% | 50 | 46 | $2K |
| D0350 | 3.0% | 48 | 48 | $1K | |
| D0220 | Intraoral - periapical first radiographic image | 1.2% | 50 | 47 | $601.00 |
| D9219 | 1.2% | 15 | 15 | $598.65 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.