Dental
DR. Jack Smalley D.D.S.
DR. Jack Smalley D.D.S. was paid $12K by Medicaid between May 2022 and Jul 2024, across 4 billing codes. Its largest line is D1110, Prophylaxis - adult — 71% of everything it billed.
33Billing provider infoDR. JACK SMALLEY D.D.S.
FARMINGTON, NM 87401
FARMINGTON, NM 87401
33aNPI1073844221assigned 01/27/2010
33bProvider typeDentist
28Total paid$12K
24GClaims382
24DCodes billed4
24AFirst – last monthMay 2022 – Jul 2024
Compared with peers
Next to other Dentist providers in New Mexico
Rank by total paid#122 of 179
Median peer was paid$47K
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2022 | 155 | $5K | |
| 2023 | 189 | $6K | |
| 2024incomplete | 38 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 71% | 218 | 216 | $9K |
| D1206 | Topical application of fluoride varnish | 11% | 78 | 77 | $1K |
| D0274 | Bitewings - four radiographic images | 10% | 41 | 40 | $1K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.3% | 45 | 45 | $866.91 |
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 officialSONA, DEANZA (OFFICE MANAGER)