Dental
Smith and Macdonald Pediatric Dentistry
Smith and Macdonald Pediatric Dentistry was paid $2.33M by Medicaid between Feb 2018 and Aug 2024, across 21 billing codes. Its largest line is D0120, dental checkup, returning patient — 52% of everything it billed.
33Billing provider infoSMITH AND MACDONALD PEDIATRIC DENTISTRY
AMERICAN FORK, UT 84003
AMERICAN FORK, UT 84003
33aNPI1316234032assigned 07/01/2011
33bProvider typePediatric Dentist
28Total paid$2.33M
24GClaims67,500
24DCodes billed21
24AFirst – last monthFeb 2018 – Aug 2024
Compared with peers
Next to other Pediatric Dentist providers in Utah
Rank by total paid#12 of 152
Median peer was paid$311K
This provider vs. median7.5×
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 | 2,152 | $55K | |
| 2019 | 7,692 | $269K | |
| 2020 | 8,692 | $318K | |
| 2021 | 19,519 | $719K | |
| 2022 | 25,250 | $832K | |
| 2023 | 2,657 | $84K | |
| 2024incomplete | 1,538 | $52K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 52% | 11,291 | 11,239 | $1.20M |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 1,972 | 1,962 | $265K |
| D1351 | Sealant - per tooth | 8.1% | 6,564 | 1,284 | $189K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 7.8% | 2,694 | 1,216 | $181K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 5.3% | 1,488 | 406 | $124K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.7% | 12,235 | 12,183 | $63K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.7% | 749 | 327 | $63K |
| D0272 | Bitewings - two radiographic images | 2.1% | 8,317 | 8,281 | $48K |
| D7140 | Extraction, erupted tooth or exposed root | 1.9% | 800 | 415 | $43K |
| D2140 | 1.3% | 631 | 379 | $30K | |
| D1206 | Topical application of fluoride varnish | <1% | 12,737 | 12,677 | $21K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,950 | 1,910 | $21K |
9 more codes
| D0140 | Limited oral evaluation - problem focused | <1% | 370 | $20K |
| D2332 | <1% | 164 | $15K | |
| D2160 | <1% | 216 | $13K | |
| D0274 | Bitewings - four radiographic images | <1% | 2,441 | $10K |
| D0330 | Panoramic radiographic image | <1% | 765 | $7K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 1,271 | $6K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 45 | $3K |
| D1999 | <1% | 110 | $2K | |
| D1110 | Prophylaxis - adult | <1% | 690 | $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.
From NPPES
Who's on the registration
Authorized officialSMITH, NATHAN (MEMBER)
| Provider | Location | Paid |
|---|---|---|
| Phoenix Gospel Mission, INC. Dba Phoenix Rescue Mission | Phoenix, AZ | $166K |
| Phoenix Gospel Mission, INC. Dba Phoenix Rescue Mission | Phoenix, AZ | $36K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.