Smith, Angela

Smith, Angela was paid $58K by Medicaid between Mar 2018 and May 2024, across 12 billing codes. Its largest line is D1110, Prophylaxis - adult — 33% of everything it billed.

33Billing provider infoSMITH, ANGELA
LOOGOOTEE, IN 47553

33aNPI1659475713assigned 09/11/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$58K

24GClaims1,994

24DCodes billed12

24AFirst – last monthMar 2018 – May 2024

Compared with peers

Next to other General Practice Dentistry providers in Indiana

Rank by total paid#367 of 723

Median peer was paid$60K

This provider vs. median1.0×

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
2018	417	$3K
2019	134	$4K
2020	116	$3K
2021	264	$9K
2022	477	$16K
2023	519	$20K
2024incomplete	67	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	33%	444	425	$19K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	23%	643	623	$13K
D1208	Topical application of fluoride, excluding varnish	11%	378	367	$7K
D0140	Limited oral evaluation - problem focused	10%	136	129	$6K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth	7.0%	21	12	$4K
D0274	Bitewings - four radiographic images	6.9%	126	118	$4K
D2150	Silver amalgam - two surfaces, primary or permanent	4.4%	48	27	$3K
D0220	Intraoral - periapical first radiographic image	1.6%	83	81	$950.17
D1120	Dental cleaning, childProphylaxis - child	1.1%	29	29	$621.00
D1206	Topical application of fluoride varnish	<1%	20	19	$503.12
D0150	Comprehensive oral evaluation - new or established patient	<1%	12	12	$479.25
D1351	Sealant - per tooth	<1%	54	12	$146.75

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.