J. CHRISTOPHER SMITH, D.D.S. PLLC
NPI: 1346671377
· CHARLESTON, WV 25387
· General Practice Dentistry
· NPI assigned 12/02/2013
$147K
Total Medicaid Paid
Provider Details
| Authorized Official | SMITH, JON (OWNER) |
| NPI Enumeration Date | 12/02/2013 |
Related Entities
Other providers sharing the same authorized official: SMITH, JON
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
695 |
$21K |
| 2019 |
826 |
$20K |
| 2020 |
1,588 |
$44K |
| 2021 |
644 |
$19K |
| 2022 |
564 |
$17K |
| 2023 |
393 |
$12K |
| 2024 |
476 |
$15K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
1,512 |
1,289 |
$36K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,758 |
1,515 |
$36K |
| D1110 |
Prophylaxis - adult |
658 |
547 |
$31K |
| D1120 |
Prophylaxis - child |
663 |
549 |
$22K |
| D0274 |
Bitewings - four radiographic images |
284 |
236 |
$10K |
| D0330 |
Panoramic radiographic image |
112 |
87 |
$6K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
73 |
71 |
$2K |
| D0272 |
Bitewings - two radiographic images |
66 |
42 |
$2K |
| D0140 |
Limited oral evaluation - problem focused |
28 |
25 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
32 |
25 |
$352.50 |