Smith, John

Smith, John was paid $5K by Medicaid between Jan 2018 and Feb 2019, across 4 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 38% of everything it billed.

33Billing provider infoSMITH, JOHN
VERMILLION, SD 57069

33aNPI1306053996assigned 05/16/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$5K

24GClaims236

24DCodes billed4

24AFirst – last monthJan 2018 – Feb 2019

Compared with peers

Next to other General Practice Dentistry providers in South Dakota

Rank by total paid#62 of 81

Median peer was paid$39K

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	193	$4K
2019	43	$905.77

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1206	Topical application of fluoride varnish	38%	85	85	$2K
D1120	Dental cleaning, childProphylaxis - child	32%	45	45	$2K
D1351	Sealant - per tooth	24%	40	17	$1K
D0603		6.0%	66	66	$307.96

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.