NPI: 1891842332 · MENDENHALL, MS 39114 · Dental Clinic/Center · NPI assigned 01/05/2007
Authorized official SMITH, KIMBERLY controls 12+ related entities in our dataset. Read more
| Authorized Official | SMITH, KIMBERLY (PRESIDENT) |
| NPI Enumeration Date | 01/05/2007 |
Other providers sharing the same authorized official: SMITH, KIMBERLY
| Provider | City | State | Total Paid |
|---|---|---|---|
| FOUNDATIONS GROUP OF MN, INC | STACY | MN | $8.14M |
| COUNTY OF COLUMBUS OFFICE OF ACCOUNTANT | WHITEVILLE | NC | $1.57M |
| DANVILLE EYE CENTER, PLLC | DANVILLE | KY | $671K |
| FENTON FIRE PROTECTION DISTRICT | FENTON | MO | $304K |
| COUNTY OF COLUMBUS OFFICE OF ACCOUNTANT | WHITEVILLE | NC | $298K |
| KIMBERLY SMITH, OD & ASSOCIATES, LLC | CINCINNATI | OH | $180K |
| BOARD OF SUPERVISORS OF AMELIA CO | AMELIA COURT HOUSE | VA | $77K |
| PSYCHIATRIC AND ADDICTION CENTERED MEDICINE LLC | STIGLER | OK | $16K |
| JKL HEALTHCARE SERVICES LLC | NEW IBERIA | LA | $15K |
| EXPRESS MEDICAL TRANSIT LLC | BATON ROUGE | LA | $5K |
| B I RADIATION ONCOLOGY ASSOCIATES | NEW YORK | NY | $5K |
| COUNTY OF COLUMBUS OFFICE OF ACCOUNTANT | WHITEVILLE | NC | $0.00 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,439 | $11K |
| 2019 | 685 | $23K |
| 2020 | 815 | $17K |
| 2021 | 669 | $19K |
| 2022 | 582 | $18K |
| 2023 | 414 | $13K |
| 2024 | 649 | $21K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 1,622 | 1,324 | $39K |
| D0120 | Periodic oral evaluation - established patient | 938 | 877 | $25K |
| D1206 | Topical application of fluoride varnish | 1,190 | 947 | $23K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 483 | 197 | $19K |
| D0150 | Comprehensive oral evaluation - new or established patient | 518 | 280 | $9K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 49 | 34 | $4K |
| D0272 | Bitewings - two radiographic images | 179 | 108 | $2K |
| D0274 | Bitewings - four radiographic images | 15 | 15 | $521.85 |
| D0220 | Intraoral - periapical first radiographic image | 44 | 28 | $345.25 |
| D1999 | 215 | 189 | $0.00 |