Smalley, Jack

Smalley, Jack was paid $8K by Medicaid between Sep 2020 and Apr 2022, across 5 billing codes. Its largest line is D1110, Prophylaxis - adult — 65% of everything it billed.

33Billing provider infoSMALLEY, JACK
FARMINGTON, NM 87402

33aNPI1487611331assigned 04/26/2006

33bProvider typeDentist

28Total paid$8K

24GClaims239

24DCodes billed5

24AFirst – last monthSep 2020 – Apr 2022

Compared with peers

Next to other Dentist providers in New Mexico

Rank by total paid#133 of 179

Median peer was paid$47K

This provider vs. median0.2×

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
2020	44	$1K
2021	163	$5K
2022	32	$850.22

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	65%	132	132	$5K
D1206	Topical application of fluoride varnish	17%	70	70	$1K
D0210	Intraoral - complete series of radiographic images	9.7%	13	12	$731.76
D0150	Comprehensive oral evaluation - new or established patient	5.0%	12	12	$376.75
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	3.5%	12	12	$267.24

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.