Smith, Wyatt

Smith, Wyatt was paid $6K by Medicaid between Jan 2018 and Jul 2019, across 3 billing codes. Its largest line is D1110, Prophylaxis - adult — 69% of everything it billed.

33Billing provider infoSMITH, WYATT
GARY, IN 46408

33aNPI1356564512assigned 04/10/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$6K

24GClaims297

24DCodes billed3

24AFirst – last monthJan 2018 – Jul 2019

Compared with peers

Next to other General Practice Dentistry providers in Indiana

Rank by total paid#544 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	150	$817.47
2019	147	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	69%	159	143	$4K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	24%	116	103	$1K
D0274	Bitewings - four radiographic images	6.8%	22	14	$395.51

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.