Smith, Andrew

Smith, Andrew was paid $26K by Medicaid between Jan 2018 and Feb 2022, across 8 billing codes. Its largest line is D0120, dental checkup, returning patient — 95% of everything it billed.

33Billing provider infoSMITH, ANDREW
MURRAY, UT 84107

33aNPI1134263478assigned 02/19/2007

33bProvider typeDentist

28Total paid$26K

24GClaims972

24DCodes billed8

24AFirst – last monthJan 2018 – Feb 2022

Compared with peers

Next to other Dentist providers in Utah

Rank by total paid#76 of 136

Median peer was paid$35K

This provider vs. median0.8×

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
2018	588	$14K
2019	207	$7K
2020	126	$4K
2022	51	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	95%	240	229	$25K
D1110	Prophylaxis - adult	1.2%	15	13	$320.98
D0230	Intraoral - periapical each additional radiographic image	<1%	218	205	$255.40
D0220	Intraoral - periapical first radiographic image	<1%	260	241	$223.90
D1120	Dental cleaning, childProphylaxis - child	<1%	81	78	$200.15
D1206	Topical application of fluoride varnish	<1%	114	111	$169.15
D0274	Bitewings - four radiographic images	<1%	14	13	$67.39
D0272	Bitewings - two radiographic images	0%	30	30	$0.00

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.