Dental
Smith Dentistry PLLC
Smith Dentistry PLLC was paid $760.00 by Medicaid between Oct 2024 and Oct 2024, across 2 billing codes. Its largest line is D0120, dental checkup, returning patient — 57% of everything it billed.
33Billing provider infoSMITH DENTISTRY PLLC
KALKASKA, MI 49646
KALKASKA, MI 49646
33aNPI1043065030assigned 04/22/2024
33bProvider typeGeneral Practice Dentistry
28Total paid$760.00
24GClaims28
24DCodes billed2
24AFirst – last monthOct 2024 – Oct 2024
Compared with peers
Next to other General Practice Dentistry providers in Michigan
Rank by total paid#1,343 of 1,554
Median peer was paid$15K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2024incomplete | 28 | $760.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 57% | 15 | 15 | $435.00 |
| D1206 | Topical application of fluoride varnish | 43% | 13 | 13 | $325.00 |
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.
From NPPES
Who's on the registration
Authorized officialSMITH, GRANT (PRESIDENT/OWNER)