Smith, Gavin

Smith, Gavin was paid $19K by Medicaid between Aug 2018 and May 2024, across 9 billing codes. Its largest line is D1110, Prophylaxis - adult — 39% of everything it billed.

33Billing provider infoSMITH, GAVIN
PLEASANT GROVE, UT 84062

33aNPI1326255993assigned 05/16/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$19K

24GClaims718

24DCodes billed9

24AFirst – last monthAug 2018 – May 2024

Compared with peers

Next to other General Practice Dentistry providers in Utah

Rank by total paid#119 of 225

Median peer was paid$21K

This provider vs. median0.9×

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	25	$81.48
2020	16	$97.83
2021	295	$9K
2022	212	$4K
2023	116	$4K
2024incomplete	54	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	39%	89	84	$7K
D1120	Dental cleaning, childProphylaxis - child	25%	46	41	$5K
D0274	Bitewings - four radiographic images	13%	172	156	$2K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	8.7%	251	235	$2K
D0140	Limited oral evaluation - problem focused	5.5%	15	15	$1K
D0330	Panoramic radiographic image	4.3%	15	15	$809.72
D0150	Comprehensive oral evaluation - new or established patient	2.0%	12	12	$378.52
D0272	Bitewings - two radiographic images	1.4%	25	24	$261.70
D1206	Topical application of fluoride varnish	<1%	93	80	$124.83

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.