Dental
Smith, Ryan
Smith, Ryan was paid $141K by Medicaid between Aug 2019 and Jul 2020, across 16 billing codes. Its largest line is D1120, dental cleaning, child — 14% of everything it billed.
33Billing provider infoSMITH, RYAN
JEFFERSON CITY, MO 65101
JEFFERSON CITY, MO 65101
33aNPI1124689005assigned 06/22/2019
33bProvider typeGeneral Practice Dentistry
28Total paid$141K
24GClaims2,925
24DCodes billed16
24AFirst – last monthAug 2019 – Jul 2020
Compared with peers
Next to other General Practice Dentistry providers in Missouri
Rank by total paid#101 of 260
Median peer was paid$78K
This provider vs. median1.8×
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 | |
|---|---|---|---|
| 2019 | 1,652 | $74K | |
| 2020 | 1,273 | $67K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 400 | 396 | $20K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 14% | 131 | 98 | $19K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 484 | 480 | $19K |
| D1206 | Topical application of fluoride varnish | 12% | 596 | 592 | $18K |
| D0272 | Bitewings - two radiographic images | 8.6% | 360 | 356 | $12K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.6% | 58 | 42 | $9K |
| D0274 | Bitewings - four radiographic images | 6.2% | 197 | 197 | $9K |
| D1110 | Prophylaxis - adult | 5.6% | 140 | 140 | $8K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.6% | 67 | 42 | $6K |
| D0220 | Intraoral - periapical first radiographic image | 3.2% | 199 | 199 | $5K |
| D7140 | Extraction, erupted tooth or exposed root | 3.1% | 21 | 14 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.9% | 87 | 87 | $4K |
4 more codes
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.