Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

TIMOTHY W SMITH DMD LLC

NPI: 1508103821 · HANCEVILLE, AL 35077 · Dental Clinic/Center · NPI assigned 01/07/2013

$10K
Total Medicaid Paid
653
Total Claims
532
Beneficiaries
6
Codes Billed
2018-01
First Month
2023-03
Last Month

Provider Details

Authorized OfficialSMITH, TIMOTHY (OWNER)
NPI Enumeration Date01/07/2013

Related Entities

Other providers sharing the same authorized official: SMITH, TIMOTHY

ProviderCityStateTotal Paid
LAKEWOOD FAMILY MEDICINE PLC HOLLAND MI $1.38M
GRACE PRIMARY CARE, PC HUNTSVILLE TN $1.22M
IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME GILMAN IL $887K
IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME KENTLAND IN $735K
IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME MILFORD IL $569K
BREATHITT COUNTY HOME MEDICAL LLC JACKSON KY $51K
VFD LTD LOS LUNAS NM $25K
CORNERSTONE HEALTHCARE ASSOCIATES LLC COLUMBUS OH $18K
TIMOTHY J. SMITH, O.D.,P.C. LIBERTY MO $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 79 $903.00
2019 54 $873.00
2020 232 $3K
2021 177 $3K
2022 91 $2K
2023 20 $300.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1999 283 242 $5K
D0120 Periodic oral evaluation - established patient 163 130 $2K
D1208 Topical application of fluoride, excluding varnish 148 117 $2K
D1120 Prophylaxis - child 24 15 $280.00
D0150 Comprehensive oral evaluation - new or established patient 20 13 $242.00
D1206 Topical application of fluoride varnish 15 15 $225.00