Dental
Smith, Kimberly
Smith, Kimberly was paid $63K by Medicaid between Jan 2018 and Jul 2023, across 10 billing codes. Its largest line is D2391, Resin-based composite - one surface, posterior, primary or permanent — 29% of everything it billed.
33Billing provider infoSMITH, KIMBERLY
MENDENHALL, MS 39114
MENDENHALL, MS 39114
33aNPI1649327164assigned 01/05/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$63K
24GClaims2,000
24DCodes billed10
24AFirst – last monthJan 2018 – Jul 2023
Compared with peers
Next to other General Practice Dentistry providers in Mississippi
Rank by total paid#204 of 379
Median peer was paid$78K
This provider vs. median0.8×
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 | 1,207 | $41K | |
| 2019 | 213 | $8K | |
| 2020 | 275 | $5K | |
| 2021 | 124 | $4K | |
| 2022 | 141 | $3K | |
| 2023 | 40 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 29% | 244 | 166 | $18K |
| D0150 | Comprehensive oral evaluation - new or established patient | 28% | 515 | 467 | $17K |
| D1120 | Dental cleaning, childProphylaxis - child | 22% | 555 | 526 | $14K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.0% | 118 | 115 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | 4.3% | 205 | 178 | $3K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.1% | 22 | 15 | $3K |
| D1206 | Topical application of fluoride varnish | 3.6% | 95 | 94 | $2K |
| D0272 | Bitewings - two radiographic images | 2.9% | 86 | 84 | $2K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 43 | 43 | $577.36 |
| D1999 | 0% | 117 | 99 | $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.