Dental
Douglas J. Smith
Douglas J. Smith was paid $109K by Medicaid between Jan 2018 and Nov 2024, across 8 billing codes. Its largest line is D1110, Prophylaxis - adult — 76% of everything it billed.
33Billing provider infoDOUGLAS J. SMITH
REXBURG, ID 83440
REXBURG, ID 83440
33aNPI1962664458assigned 06/26/2008
33bProvider typeGeneral Practice Dentistry
28Total paid$109K
24GClaims4,415
24DCodes billed8
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Idaho
Rank by total paid#41 of 173
Median peer was paid$22K
This provider vs. median4.8×
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 | 544 | $12K | |
| 2019 | 288 | $6K | |
| 2020 | 774 | $18K | |
| 2021 | 720 | $17K | |
| 2022 | 584 | $15K | |
| 2023 | 757 | $22K | |
| 2024incomplete | 748 | $19K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 76% | 1,263 | 1,262 | $83K |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 208 | 208 | $12K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.7% | 111 | 57 | $7K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.5% | 1,805 | 1,803 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.2% | 53 | 53 | $1K |
| D0274 | Bitewings - four radiographic images | <1% | 368 | 368 | $855.62 |
| D0140 | Limited oral evaluation - problem focused | <1% | 39 | 39 | $702.41 |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 568 | 568 | $27.10 |
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.
From NPPES
Who's on the registration
Authorized officialSMITH, DOUGLAS (OWNER-DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Pertle Springs Emergency Physicians LLC | Warrensburg, MO | $887K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.