Smith, John

Smith, John was paid $53K by Medicaid between Dec 2020 and Oct 2024, across 10 billing codes. Its largest line is D0120, dental checkup, returning patient — 33% of everything it billed.

33Billing provider infoSMITH, JOHN
CORSICANA, TX 75110

33aNPI1902021074assigned 04/16/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$53K

24GClaims2,470

24DCodes billed10

24AFirst – last monthDec 2020 – Oct 2024

Compared with peers

Next to other General Practice Dentistry providers in Texas

Rank by total paid#1,320 of 2,774

Median peer was paid$43K

This provider vs. median1.2×

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
2020	47	$1K
2021	938	$21K
2022	600	$13K
2023	614	$13K
2024incomplete	271	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	33%	625	617	$17K
D1208	Topical application of fluoride, excluding varnish	20%	751	742	$11K
D0274	Bitewings - four radiographic images	16%	265	261	$9K
D1110	Prophylaxis - adult	15%	158	156	$8K
D1120	Dental cleaning, childProphylaxis - child	9.0%	136	135	$5K
D0220	Intraoral - periapical first radiographic image	3.5%	155	152	$2K
D0272	Bitewings - two radiographic images	1.8%	42	42	$965.58
D0230	Intraoral - periapical each additional radiographic image	1.4%	65	58	$726.29
D0603		0%	235	234	$0.00
D0602		0%	38	38	$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.