Dental
Smith, Sydney
Smith, Sydney was paid $19K by Medicaid between Jul 2021 and Sep 2021, across 11 billing codes. Its largest line is D1120, dental cleaning, child — 22% of everything it billed.
33Billing provider infoSMITH, SYDNEY
BOILING SPRINGS, SC 29316
BOILING SPRINGS, SC 29316
33aNPI1831761402assigned 07/13/2021
33bProvider typeDentist
28Total paid$19K
24GClaims758
24DCodes billed11
24AFirst – last monthJul 2021 – Sep 2021
Compared with peers
Next to other Dentist providers in South Carolina
Rank by total paid#109 of 166
Median peer was paid$67K
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 | |
|---|---|---|---|
| 2021 | 758 | $19K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 22% | 117 | 117 | $4K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 111 | 111 | $3K |
| D1206 | Topical application of fluoride varnish | 12% | 143 | 143 | $2K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 12% | 68 | 62 | $2K |
| D7140 | Extraction, erupted tooth or exposed root | 11% | 23 | 15 | $2K |
| D0272 | Bitewings - two radiographic images | 10% | 98 | 98 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 6.8% | 98 | 98 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.7% | 17 | 17 | $688.50 |
| D0230 | Intraoral - periapical each additional radiographic image | 3.2% | 57 | 42 | $587.31 |
| D0145 | Oral evaluation for a patient under three years of age | 2.7% | 14 | 14 | $504.00 |
| D0140 | Limited oral evaluation - problem focused | 2.5% | 12 | 12 | $462.00 |
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.