Smith, Adam

Smith, Adam was paid $3K by Medicaid between Aug 2023 and Aug 2023, across 6 billing codes. Its largest line is D1110, Prophylaxis - adult — 35% of everything it billed.

33Billing provider infoSMITH, ADAM
PITTSFORD, NY 14534

33aNPI1740927870assigned 05/19/2022

33bProvider typeDentist

28Total paid$3K

24GClaims110

24DCodes billed6

24AFirst – last monthAug 2023 – Aug 2023

Compared with peers

Next to other Dentist providers in New York

Rank by total paid#1,377 of 1,649

Median peer was paid$49K

This provider vs. median0.1×

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
2023	110	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	35%	17	17	$999.79
D0150	Comprehensive oral evaluation - new or established patient	25%	16	16	$696.00
D0274	Bitewings - four radiographic images	14%	16	16	$396.26
D1206	Topical application of fluoride varnish	12%	19	19	$342.95
D0220	Intraoral - periapical first radiographic image	8.2%	21	21	$233.31
D0230	Intraoral - periapical each additional radiographic image	6.0%	21	21	$169.91

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.