Dental
D Raleigh Smith DMD, PLLC
D Raleigh Smith DMD, PLLC was paid $420K by Medicaid between Sep 2021 and Nov 2024, across 19 billing codes. Its largest line is D1110, Prophylaxis - adult — 9.5% of everything it billed.
33Billing provider infoD RALEIGH SMITH DMD, PLLC
PUEBLO, CO 81005
PUEBLO, CO 81005
33aNPI1417624420assigned 08/26/2021
33bProvider typeDentist
28Total paid$420K
24GClaims6,781
24DCodes billed19
24AFirst – last monthSep 2021 – Nov 2024
Compared with peers
Next to other Dentist providers in Colorado
Rank by total paid#87 of 344
Median peer was paid$45K
This provider vs. median9.3×
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 | |
|---|---|---|---|
| 2021 | 1,069 | $70K | |
| 2022 | 3,284 | $197K | |
| 2023 | 1,923 | $106K | |
| 2024incomplete | 505 | $47K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 9.5% | 897 | 894 | $40K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.4% | 304 | 201 | $40K |
| D0210 | Intraoral - complete series of radiographic images | 8.5% | 432 | 430 | $36K |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.2% | 877 | 873 | $35K |
| D4910 | 8.0% | 437 | 435 | $33K | |
| D2740 | Crown - porcelain/ceramic | 7.4% | 69 | 44 | $31K |
| D2950 | 6.9% | 233 | 192 | $29K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 5.7% | 149 | 106 | $24K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.6% | 941 | 937 | $23K |
| D7140 | Extraction, erupted tooth or exposed root | 5.5% | 263 | 100 | $23K |
| D4342 | 5.2% | 236 | 78 | $22K | |
| D2750 | 4.8% | 46 | 42 | $20K |
7 more codes
| D0274 | Bitewings - four radiographic images | 3.9% | 531 | $17K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 3.8% | 100 | $16K |
| D0140 | Limited oral evaluation - problem focused | 3.7% | 437 | $15K |
| D0220 | Intraoral - periapical first radiographic image | 1.7% | 574 | $7K |
| D0330 | Panoramic radiographic image | 1.6% | 129 | $7K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 87 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 39 | $627.57 |
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 officialMEARES, RACHEL (OPERATIONS MANAGER)