Smith, Jerry B.

Smith, Jerry B. was paid $60K by Medicaid between Jan 2020 and Jan 2023, across 10 billing codes. Its largest line is D1110, Prophylaxis - adult — 34% of everything it billed.

33Billing provider infoSMITH, JERRY B.
JASPER, FL 32052

33aNPI1659393916assigned 07/24/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$60K

24GClaims3,153

24DCodes billed10

24AFirst – last monthJan 2020 – Jan 2023

Compared with peers

Next to other General Practice Dentistry providers in Florida

Rank by total paid#211 of 568

Median peer was paid$24K

This provider vs. median2.5×

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
2020	873	$16K
2021	199	$4K
2022	2,042	$39K
2023	39	$624.52

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	34%	275	274	$20K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	33%	546	539	$20K
D0330	Panoramic radiographic image	15%	112	111	$9K
D1120	Dental cleaning, childProphylaxis - child	9.5%	364	360	$6K
D0274	Bitewings - four radiographic images	7.6%	443	437	$5K
D0150	Comprehensive oral evaluation - new or established patient	<1%	73	73	$493.18
D1206	Topical application of fluoride varnish	<1%	620	614	$45.93
D1330		0%	687	681	$0.00
D1208	Topical application of fluoride, excluding varnish	0%	13	13	$0.00
D0601		0%	20	18	$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.