Dental
Smyth, Chester
Smyth, Chester was paid $82K by Medicaid between Aug 2018 and Mar 2021, across 9 billing codes. Its largest line is D0120, dental checkup, returning patient — 64% of everything it billed.
33Billing provider infoSMYTH, CHESTER
MURRAY, UT 84107
MURRAY, UT 84107
33aNPI1508800749assigned 06/16/2006
33bProvider typePediatric Dentist
28Total paid$82K
24GClaims3,253
24DCodes billed9
24AFirst – last monthAug 2018 – Mar 2021
Compared with peers
Next to other Pediatric Dentist providers in Utah
Rank by total paid#116 of 152
Median peer was paid$311K
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2018 | 38 | $1K | |
| 2019 | 1,390 | $34K | |
| 2020 | 1,225 | $31K | |
| 2021 | 600 | $15K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 64% | 636 | 636 | $52K |
| D1120 | Dental cleaning, childProphylaxis - child | 22% | 714 | 713 | $18K |
| D0220 | Intraoral - periapical first radiographic image | 5.8% | 443 | 440 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.2% | 37 | 37 | $4K |
| D0272 | Bitewings - two radiographic images | 2.5% | 280 | 278 | $2K |
| D1206 | Topical application of fluoride varnish | <1% | 719 | 718 | $572.20 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 373 | 349 | $206.05 |
| D0274 | Bitewings - four radiographic images | 0% | 26 | 26 | $0.00 |
| D0330 | Panoramic radiographic image | 0% | 25 | 25 | $0.00 |
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.