Smith, Samuel

Smith, Samuel was paid $9K by Medicaid between Jan 2018 and Jun 2018, across 4 billing codes. Its largest line is D1110, Prophylaxis - adult — 48% of everything it billed.

33Billing provider infoSMITH, SAMUEL
KILL DEVIL HILLS, NC 27948

33aNPI1164859567assigned 09/30/2013

33bProvider typeDentist

28Total paid$9K

24GClaims362

24DCodes billed4

24AFirst – last monthJan 2018 – Jun 2018

Compared with peers

Next to other Dentist providers in North Carolina

Rank by total paid#303 of 402

Median peer was paid$154K

This provider vs. median0.1×

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	362	$9K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	48%	130	125	$4K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	34%	146	139	$3K
D0140	Limited oral evaluation - problem focused	9.3%	27	26	$848.44
D1208	Topical application of fluoride, excluding varnish	9.0%	59	57	$817.44

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.