Smith, H.

Smith, H. was paid $8K by Medicaid between Jan 2018 and Apr 2021, across 4 billing codes. Its largest line is D0120, dental checkup, returning patient — 61% of everything it billed.

33Billing provider infoSMITH, H.
EASTMAN, GA 31023

33aNPI1730234634assigned 01/24/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$8K

24GClaims352

24DCodes billed4

24AFirst – last monthJan 2018 – Apr 2021

Compared with peers

Next to other General Practice Dentistry providers in Georgia

Rank by total paid#44 of 63

Median peer was paid$30K

This provider vs. median0.3×

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	120	$3K
2019	182	$4K
2020	32	$612.23
2021	18	$287.18

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	61%	236	222	$5K
D1120	Dental cleaning, childProphylaxis - child	20%	55	50	$2K
D0330	Panoramic radiographic image	11%	15	14	$875.94
D1208	Topical application of fluoride, excluding varnish	8.9%	46	41	$721.04

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.