Dental
Smith, James
Smith, James was paid $4K by Medicaid between Jul 2018 and Aug 2019, across 3 billing codes. Its largest line is D1110, Prophylaxis - adult — 73% of everything it billed.
33Billing provider infoSMITH, JAMES
JEFFERSONVILLE, IN 47130
JEFFERSONVILLE, IN 47130
33aNPI1326156688assigned 08/28/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$4K
24GClaims214
24DCodes billed3
24AFirst – last monthJul 2018 – Aug 2019
Compared with peers
Next to other General Practice Dentistry providers in Indiana
Rank by total paid#566 of 723
Median peer was paid$60K
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 | 129 | $680.99 | |
| 2019 | 85 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 73% | 126 | 90 | $3K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 76 | 45 | $629.93 |
| D0150 | Comprehensive oral evaluation - new or established patient | 12% | 12 | 12 | $486.35 |
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.