Smith, Gary

Smith, Gary was paid $194K by Medicaid between Jan 2018 and Nov 2024, across 12 billing codes. Its largest line is D1110, Prophylaxis - adult — 34% of everything it billed.

33Billing provider infoSMITH, GARY
CHARLESTOWN, IN 47111

33aNPI1871603803assigned 08/31/2006

33bProvider typeDentist

28Total paid$194K

24GClaims6,042

24DCodes billed12

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Dentist providers in Indiana

Rank by total paid#151 of 452

Median peer was paid$59K

This provider vs. median3.3×

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	840	$4K
2019	855	$28K
2020	625	$19K
2021	959	$37K
2022	949	$32K
2023	1,067	$40K
2024incomplete	747	$33K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	34%	1,459	1,402	$66K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	22%	1,999	1,927	$42K
D7140	Extraction, erupted tooth or exposed root	13%	322	100	$26K
D1208	Topical application of fluoride, excluding varnish	9.7%	1,053	1,013	$19K
D0274	Bitewings - four radiographic images	5.6%	329	316	$11K
D0150	Comprehensive oral evaluation - new or established patient	5.2%	289	280	$10K
D0210	Intraoral - complete series of radiographic images	3.5%	108	106	$7K
D1120	Dental cleaning, childProphylaxis - child	3.3%	242	230	$6K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	1.6%	39	24	$3K
D0140	Limited oral evaluation - problem focused	1.5%	110	105	$3K
D0220	Intraoral - periapical first radiographic image	<1%	78	75	$975.76
D0272	Bitewings - two radiographic images	<1%	14	13	$274.72

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.