Waller-Smith, Jennifer

Waller-Smith, Jennifer was paid $11K by Medicaid between Aug 2019 and Apr 2023, across 8 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 46% of everything it billed.

33Billing provider infoWALLER-SMITH, JENNIFER
CHOCTAW, MS 39350

33aNPI1720389794assigned 11/08/2010

33bProvider typeDentist

28Total paid$11K

24GClaims278

24DCodes billed8

24AFirst – last monthAug 2019 – Apr 2023

Compared with peers

Next to other Dentist providers in Mississippi

Rank by total paid#187 of 261

Median peer was paid$64K

This provider vs. median0.2×

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
2019	240	$10K
2022	13	$281.23
2023	25	$545.44

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	46%	39	16	$5K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	13%	50	50	$1K
D1120	Dental cleaning, childProphylaxis - child	10%	27	27	$1K
D1208	Topical application of fluoride, excluding varnish	9.0%	39	39	$975.00
D0150	Comprehensive oral evaluation - new or established patient	7.6%	38	38	$826.67
D1110	Prophylaxis - adult	6.7%	14	14	$726.60
D0220	Intraoral - periapical first radiographic image	5.4%	38	38	$587.56
D0230	Intraoral - periapical each additional radiographic image	2.6%	33	32	$286.20

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.