Dental
Smith, Don
Smith, Don was paid $206K by Medicaid between Jan 2018 and Oct 2024, across 9 billing codes. Its largest line is D0140, Limited oral evaluation - problem focused — 35% of everything it billed.
33Billing provider infoSMITH, DON
KOSCIUSKO, MS 39090
KOSCIUSKO, MS 39090
33aNPI1073665691assigned 01/16/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$206K
24GClaims8,559
24DCodes billed9
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other General Practice Dentistry providers in Mississippi
Rank by total paid#132 of 379
Median peer was paid$78K
This provider vs. median2.6×
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 | 2,458 | $45K | |
| 2019 | 1,287 | $34K | |
| 2020 | 894 | $26K | |
| 2021 | 919 | $22K | |
| 2022 | 1,267 | $28K | |
| 2023 | 1,050 | $29K | |
| 2024incomplete | 684 | $21K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 35% | 2,304 | 1,604 | $72K |
| D1120 | Dental cleaning, childProphylaxis - child | 23% | 2,253 | 1,668 | $48K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 1,295 | 1,117 | $31K |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.3% | 855 | 467 | $17K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 7.8% | 147 | 90 | $16K |
| D0220 | Intraoral - periapical first radiographic image | 5.5% | 1,203 | 889 | $11K |
| D0272 | Bitewings - two radiographic images | 3.8% | 437 | 360 | $8K |
| D0330 | Panoramic radiographic image | <1% | 49 | 37 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 16 | 13 | $238.17 |
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.