Smith, Sandra

Smith, Sandra was paid $109K by Medicaid between Apr 2018 and Dec 2024, across 10 billing codes. Its largest line is D1110, Prophylaxis - adult — 30% of everything it billed.

33Billing provider infoSMITH, SANDRA
MIDLAND, MI 48642

33aNPI1578776043assigned 05/08/2007

33bProvider typeDentist

28Total paid$109K

24GClaims2,949

24DCodes billed10

24AFirst – last monthApr 2018 – Dec 2024

Compared with peers

Next to other Dentist providers in Michigan

Rank by total paid#258 of 1,033

Median peer was paid$15K

This provider vs. median7.3×

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	106	$3K
2019	233	$6K
2020	214	$5K
2021	277	$9K
2022	569	$18K
2023	699	$28K
2024incomplete	851	$41K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	30%	703	700	$33K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	21%	906	902	$22K
D1206	Topical application of fluoride varnish	12%	558	548	$13K
D1120	Dental cleaning, childProphylaxis - child	10%	299	289	$11K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	7.7%	58	37	$8K
D0210	Intraoral - complete series of radiographic images	6.3%	107	107	$7K
D0150	Comprehensive oral evaluation - new or established patient	6.1%	171	170	$7K
D0140	Limited oral evaluation - problem focused	4.0%	103	101	$4K
D2394		2.9%	18	12	$3K
D0274	Bitewings - four radiographic images	<1%	26	25	$701.40

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.