Dental
Smith, Marita
Smith, Marita was paid $793K by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is D1120, dental cleaning, child — 28% of everything it billed.
33Billing provider infoSMITH, MARITA
POMONA, NY 10970
POMONA, NY 10970
33aNPI1659630663assigned 05/10/2012
33bProvider typePediatric Dentist
28Total paid$793K
24GClaims29,582
24DCodes billed18
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in New York
Rank by total paid#127 of 514
Median peer was paid$196K
This provider vs. median4.1×
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 | 4,283 | $115K | |
| 2019 | 7,639 | $205K | |
| 2020 | 8,098 | $218K | |
| 2021 | 6,372 | $171K | |
| 2022 | 1,189 | $32K | |
| 2023 | 123 | $4K | |
| 2024incomplete | 1,878 | $47K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 28% | 6,215 | 6,214 | $219K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 5,598 | 5,598 | $137K |
| D1206 | Topical application of fluoride varnish | 12% | 3,376 | 3,376 | $96K |
| D1351 | Sealant - per tooth | 10% | 2,217 | 490 | $82K |
| D1208 | Topical application of fluoride, excluding varnish | 5.9% | 3,628 | 3,627 | $47K |
| D0272 | Bitewings - two radiographic images | 5.2% | 2,858 | 2,857 | $41K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.3% | 1,423 | 1,423 | $34K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.3% | 577 | 307 | $34K |
| D1110 | Prophylaxis - adult | 4.1% | 745 | 745 | $32K |
| D0330 | Panoramic radiographic image | 3.8% | 928 | 927 | $30K |
| D0274 | Bitewings - four radiographic images | 1.9% | 590 | 590 | $15K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.7% | 212 | 158 | $14K |
6 more codes
| D0220 | Intraoral - periapical first radiographic image | <1% | 541 | $6K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 263 | $2K |
| D2394 | <1% | 18 | $2K | |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 16 | $2K |
| D0140 | Limited oral evaluation - problem focused | <1% | 13 | $172.10 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 0% | 364 | $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.