Smith, Tyson

Smith, Tyson was paid $141K by Medicaid between Jan 2018 and Nov 2024, across 8 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 43% of everything it billed.

33Billing provider infoSMITH, TYSON
LEWISTOWN, MT 59457

33aNPI1265464028assigned 07/06/2006

33bProvider typeDentist

28Total paid$141K

24GClaims3,305

24DCodes billed8

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Dentist providers in Montana

Rank by total paid#21 of 95

Median peer was paid$38K

This provider vs. median3.7×

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	411	$20K
2019	307	$8K
2020	535	$25K
2021	392	$15K
2022	622	$29K
2023	705	$33K
2024incomplete	333	$10K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	43%	470	237	$60K
D1120	Dental cleaning, childProphylaxis - child	18%	694	634	$26K
D1110	Prophylaxis - adult	11%	299	274	$15K
D1206	Topical application of fluoride varnish	10%	671	634	$14K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	9.4%	546	503	$13K
D1208	Topical application of fluoride, excluding varnish	6.7%	555	482	$9K
D2391	Resin-based composite - one surface, posterior, primary or permanent	<1%	30	13	$1K
D0274	Bitewings - four radiographic images	<1%	40	38	$1K

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.