Dental
Smith, Charles
Smith, Charles was paid $124K by Medicaid between Jan 2018 and Aug 2021, across 15 billing codes. Its largest line is D1208, Topical application of fluoride, excluding varnish — 15% of everything it billed.
33Billing provider infoSMITH, CHARLES
CHARLESTON, WV 25312
CHARLESTON, WV 25312
33aNPI1487752085assigned 09/20/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$124K
24GClaims4,545
24DCodes billed15
24AFirst – last monthJan 2018 – Aug 2021
Compared with peers
Next to other General Practice Dentistry providers in West Virginia
Rank by total paid#66 of 193
Median peer was paid$44K
This provider vs. median2.8×
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 | 893 | $25K | |
| 2019 | 514 | $10K | |
| 2020 | 2,073 | $54K | |
| 2021 | 1,065 | $36K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1208 | Topical application of fluoride, excluding varnish | 15% | 937 | 809 | $18K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 775 | 655 | $17K |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 474 | 407 | $14K |
| D1351 | Sealant - per tooth | 11% | 560 | 88 | $14K |
| D0330 | Panoramic radiographic image | 11% | 247 | 203 | $13K |
| D1110 | Prophylaxis - adult | 11% | 305 | 252 | $13K |
| D0210 | Intraoral - complete series of radiographic images | 5.1% | 114 | 80 | $6K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.0% | 224 | 171 | $6K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.5% | 54 | 28 | $6K |
| D0220 | Intraoral - periapical first radiographic image | 3.4% | 330 | 270 | $4K |
| D0272 | Bitewings - two radiographic images | 2.5% | 136 | 120 | $3K |
| D0274 | Bitewings - four radiographic images | 1.8% | 84 | 61 | $2K |
3 more codes
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.