Dental
Smiths Grove Family Dentistry
Smiths Grove Family Dentistry was paid $661.43 by Medicaid between Feb 2024 and Feb 2024, across 1 billing code. Its largest line is D1110, Prophylaxis - adult — 100% of everything it billed.
33Billing provider infoSMITHS GROVE FAMILY DENTISTRY
SMITHS GROVE, KY 42171
SMITHS GROVE, KY 42171
33aNPI1528568789assigned 02/14/2018
33bProvider typeGeneral Practice Dentistry
28Total paid$661.43
24GClaims12
24DCodes billed1
24AFirst – last monthFeb 2024 – Feb 2024
Compared with peers
Next to other General Practice Dentistry providers in Kentucky
Rank by total paid#445 of 462
Median peer was paid$106K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2024incomplete | 12 | $661.43 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 100% | 12 | 12 | $661.43 |
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 officialWALDEN, GARY (OWNER)