Smith, Justin

Smith, Justin was paid $71K by Medicaid between Jan 2018 and Dec 2024, across 10 billing codes. Its largest line is D1110, Prophylaxis - adult — 58% of everything it billed.

33Billing provider infoSMITH, JUSTIN
PAYETTE, ID 83661

33aNPI1831279538assigned 10/17/2006

33bProvider typeDentist

28Total paid$71K

24GClaims3,298

24DCodes billed10

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Dentist providers in Idaho

Rank by total paid#25 of 89

Median peer was paid$16K

This provider vs. median4.6×

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
2018	2,260	$50K
2024incomplete	1,038	$21K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	58%	477	477	$41K
D1120	Dental cleaning, childProphylaxis - child	30%	316	316	$21K
D2150	Silver amalgam - two surfaces, primary or permanent	9.4%	151	89	$7K
D1351	Sealant - per tooth	1.1%	105	34	$804.37
D0330	Panoramic radiographic image	1.1%	13	13	$750.58
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	<1%	818	818	$521.23
D0274	Bitewings - four radiographic images	<1%	460	460	$117.16
D1208	Topical application of fluoride, excluding varnish	0%	558	558	$0.00
D0272	Bitewings - two radiographic images	0%	246	246	$0.00
D1206	Topical application of fluoride varnish	0%	154	154	$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.