Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NY › Pomona › NPI 1366993990
Dental

Marita Smith Dentistry, PC

Marita Smith Dentistry, PC was paid $8.61M by Medicaid between Jan 2018 and Dec 2024, across 28 billing codes. Its largest line is D1120, dental cleaning, child — 19% of everything it billed.

33Billing provider infoMARITA SMITH DENTISTRY, PC
POMONA, NY 10970
33aNPI1366993990assigned 10/19/2016
33bProvider typePediatric Dentist
28Total paid$8.61M
24GClaims308,857
24DCodes billed28
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Pediatric Dentist providers in New York

Rank by total paid#11 of 514
Median peer was paid$196K
This provider vs. median44×

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

$0$100K$200K$300K2018201920202021202220232024
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
YearClaimsPaid
20187,147$246K
201915,477$481K
202026,459$781K
202144,784$1.32M
202258,725$1.75M
202371,342$1.89M
2024incomplete84,923$2.14M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1120 Dental cleaning, childProphylaxis - child 19% 51,189 51,189 $1.66M
D1206 Topical application of fluoride varnish 12% 42,418 42,418 $1.01M
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 11% 44,717 44,717 $985K
D1351 Sealant - per tooth 8.8% 14,275 5,288 $761K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 6.7% 7,481 5,957 $575K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 5.0% 5,208 4,849 $432K
D0272 Bitewings - two radiographic images 4.3% 28,761 28,761 $374K
D2930 Prefabricated stainless steel crown - primary tooth 4.2% 3,781 3,382 $366K
D1110 Prophylaxis - adult 3.9% 7,857 7,857 $336K
D2394 3.9% 2,994 2,600 $336K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 3.2% 3,773 3,377 $272K
D0274 Bitewings - four radiographic images 2.7% 10,195 10,195 $229K
16 more codes
D0150 Comprehensive oral evaluation - new or established patient 2.7% 9,960 $229K
D0330 Panoramic radiographic image 2.6% 7,603 $222K
D0220 Intraoral - periapical first radiographic image 2.5% 21,445 $219K
D1208 Topical application of fluoride, excluding varnish 2.2% 16,422 $188K
D0145 Oral evaluation for a patient under three years of age 1.2% 4,286 $105K
D0230 Intraoral - periapical each additional radiographic image 1.0% 16,282 $86K
D9310 <1% 1,273 $78K
D0210 Intraoral - complete series of radiographic images <1% 1,743 $36K
D7140 Extraction, erupted tooth or exposed root <1% 772 $34K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis <1% 3,302 $33K
D0140 Limited oral evaluation - problem focused <1% 2,807 $30K
D2335 <1% 43 $5K
D1354 <1% 118 $4K
D2391 Resin-based composite - one surface, posterior, primary or permanent <1% 43 $2K
D9110 <1% 85 $2K
D2150 Silver amalgam - two surfaces, primary or permanent <1% 24 $2K

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, MARITA (OWNER)