GAYLIA C. SMITH, DDS PA
NPI: 1073897310
· GIBSONVILLE, NC 27249
· Dentist
· NPI assigned 10/05/2011
$104K
Total Medicaid Paid
4,259
Beneficiary Records
Provider Details
| Authorized Official | SMITH, GAYLIA (DENTIST) |
| NPI Enumeration Date | 10/05/2011 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,229 |
$25K |
| 2019 |
914 |
$21K |
| 2020 |
499 |
$12K |
| 2021 |
427 |
$11K |
| 2022 |
506 |
$11K |
| 2023 |
360 |
$9K |
| 2024 |
681 |
$14K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,072 |
1,057 |
$40K |
| D0120 |
Periodic oral evaluation - established patient |
1,212 |
1,194 |
$29K |
| D0220 |
Intraoral - periapical first radiographic image |
1,144 |
1,080 |
$16K |
| D0230 |
Intraoral - periapical each additional radiographic image |
855 |
601 |
$9K |
| D0274 |
Bitewings - four radiographic images |
172 |
168 |
$5K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
40 |
39 |
$2K |
| D1120 |
Prophylaxis - child |
38 |
38 |
$957.19 |
| D1208 |
Topical application of fluoride, excluding varnish |
57 |
57 |
$900.73 |
| D0140 |
Limited oral evaluation - problem focused |
26 |
25 |
$816.93 |