Smith, J.

Smith, J. was paid $108K by Medicaid between Feb 2018 and Sep 2020, across 4 billing codes. Its largest line is D9222, — 62% of everything it billed.

33Billing provider infoSMITH, J.
SALT LAKE CITY, UT 84117

33aNPI1043446297assigned 06/02/2009

33bProvider typeGeneral Practice Dentistry

28Total paid$108K

24GClaims670

24DCodes billed4

24AFirst – last monthFeb 2018 – Sep 2020

Compared with peers

Next to other General Practice Dentistry providers in Utah

Rank by total paid#59 of 225

Median peer was paid$21K

This provider vs. median5.1×

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
2018	195	$19K
2019	323	$62K
2020	152	$28K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D9222		62%	162	158	$67K
D0150	Comprehensive oral evaluation - new or established patient	36%	340	328	$39K
D7240	Removal of impacted tooth - completely bony	1.9%	88	28	$2K
D0330	Panoramic radiographic image	<1%	80	74	$223.27

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.