Dental
Jacqueline B Smith DDS PLLC
Jacqueline B Smith DDS PLLC was paid $59K by Medicaid between Jan 2018 and Jul 2021, across 10 billing codes. Its largest line is D1110, Prophylaxis - adult — 36% of everything it billed.
33Billing provider infoJACQUELINE B SMITH DDS PLLC
VIRGINIA BEACH, VA 23464
VIRGINIA BEACH, VA 23464
33aNPI1285870188assigned 12/23/2008
33bProvider typeGeneral Practice Dentistry
28Total paid$59K
24GClaims2,519
24DCodes billed10
24AFirst – last monthJan 2018 – Jul 2021
Compared with peers
Next to other General Practice Dentistry providers in Virginia
Rank by total paid#234 of 549
Median peer was paid$29K
This provider vs. median2.0×
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 | 783 | $19K | |
| 2019 | 700 | $16K | |
| 2020 | 608 | $14K | |
| 2021 | 428 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 36% | 519 | 464 | $21K |
| D1208 | Topical application of fluoride, excluding varnish | 25% | 835 | 793 | $15K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 22% | 716 | 674 | $13K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.9% | 162 | 162 | $5K |
| D0274 | Bitewings - four radiographic images | 4.2% | 100 | 93 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.7% | 38 | 32 | $992.97 |
| D0220 | Intraoral - periapical first radiographic image | 1.1% | 84 | 60 | $670.80 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 28 | 16 | $313.04 |
| D0140 | Limited oral evaluation - problem focused | <1% | 25 | 12 | $248.30 |
| D0272 | Bitewings - two radiographic images | <1% | 12 | 12 | $221.65 |
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.
From NPPES
Who's on the registration
Authorized officialSMITH, JACQUELINE (GENERAL DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Personal Care Home Health SVCS., LLC | Saint Louis, MO | $5.18M |
| Peoples Community Clinic of Newberg LLC | Newberg, OR | $560K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.