Dental
Smith and Larson Family Dentistry, PLLC
Smith and Larson Family Dentistry, PLLC was paid $62K by Medicaid between Aug 2022 and Dec 2024, across 11 billing codes. Its largest line is D1120, dental cleaning, child — 33% of everything it billed.
33Billing provider infoSMITH AND LARSON FAMILY DENTISTRY, PLLC
LUDINGTON, MI 49431
LUDINGTON, MI 49431
33aNPI1669120838assigned 03/16/2022
33bProvider typeDentist
28Total paid$62K
24GClaims1,724
24DCodes billed11
24AFirst – last monthAug 2022 – Dec 2024
Compared with peers
Next to other Dentist providers in Michigan
Rank by total paid#326 of 1,033
Median peer was paid$15K
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 | |
|---|---|---|---|
| 2022 | 172 | $5K | |
| 2023 | 826 | $30K | |
| 2024incomplete | 726 | $27K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 33% | 520 | 518 | $20K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 18% | 417 | 417 | $11K |
| D1208 | Topical application of fluoride, excluding varnish | 12% | 327 | 327 | $7K |
| D1206 | Topical application of fluoride varnish | 7.9% | 179 | 179 | $5K |
| D2394 | 7.6% | 27 | 24 | $5K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.3% | 109 | 108 | $5K |
| D0210 | Intraoral - complete series of radiographic images | 5.1% | 43 | 42 | $3K |
| D1110 | Prophylaxis - adult | 4.4% | 51 | 51 | $3K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.1% | 14 | 12 | $2K |
| D0274 | Bitewings - four radiographic images | 1.3% | 25 | 25 | $821.00 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 12 | 12 | $201.30 |
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.
From NPPES
Who's on the registration
Authorized officialSMITH, JESSICA (OWNER/DENTIST)