Dental
Smith, Jacob
Smith, Jacob was paid $58K by Medicaid between Jan 2023 and Dec 2024, across 12 billing codes. Its largest line is D0120, dental checkup, returning patient — 17% of everything it billed.
33Billing provider infoSMITH, JACOB
AMITE, LA 70422
AMITE, LA 70422
33aNPI1760056634assigned 05/16/2021
33bProvider typeDentist
28Total paid$58K
24GClaims1,544
24DCodes billed12
24AFirst – last monthJan 2023 – Dec 2024
Compared with peers
Next to other Dentist providers in Louisiana
Rank by total paid#147 of 251
Median peer was paid$103K
This provider vs. median0.6×
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 | 664 | $22K | |
| 2024incomplete | 880 | $36K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 333 | 331 | $10K |
| D0330 | Panoramic radiographic image | 16% | 145 | 144 | $10K |
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 275 | 274 | $9K |
| D1110 | Prophylaxis - adult | 14% | 162 | 162 | $8K |
| D1206 | Topical application of fluoride varnish | 14% | 289 | 287 | $8K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.5% | 43 | 28 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.6% | 77 | 77 | $3K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.2% | 19 | 14 | $2K |
| D0272 | Bitewings - two radiographic images | 3.0% | 78 | 78 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 2.8% | 85 | 85 | $2K |
| D0210 | Intraoral - complete series of radiographic images | 1.3% | 13 | 13 | $782.21 |
| D0274 | Bitewings - four radiographic images | 0% | 25 | 25 | $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.