Dental
Smith, Kyle
Smith, Kyle was paid $2K by Medicaid between Feb 2024 and Dec 2024, across 19 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 35% of everything it billed.
33Billing provider infoSMITH, KYLE
OREGON CITY, OR 97045
OREGON CITY, OR 97045
33aNPI1952639221assigned 11/25/2009
33bProvider typeGeneral Practice Dentistry
28Total paid$2K
24GClaims2,762
24DCodes billed19
24AFirst – last monthFeb 2024 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Oregon
Rank by total paid#204 of 311
Median peer was paid$6K
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 | |
|---|---|---|---|
| 2024incomplete | 2,762 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 35% | 181 | 125 | $639.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 25% | 433 | 394 | $456.00 |
| D0274 | Bitewings - four radiographic images | 13% | 228 | 204 | $232.00 |
| D0140 | Limited oral evaluation - problem focused | 5.7% | 71 | 71 | $105.00 |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 4.6% | 14 | 12 | $84.00 |
| D0220 | Intraoral - periapical first radiographic image | 4.2% | 209 | 189 | $78.00 |
| D0210 | Intraoral - complete series of radiographic images | 3.1% | 78 | 71 | $58.00 |
| D0603 | 3.0% | 235 | 214 | $55.00 | |
| D0330 | Panoramic radiographic image | 2.8% | 12 | 12 | $52.00 |
| D1120 | Dental cleaning, childProphylaxis - child | 2.2% | 35 | 35 | $40.00 |
| D1206 | Topical application of fluoride varnish | 1.0% | 41 | 41 | $19.00 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 174 | 110 | $18.00 |
7 more codes
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.