DOUGLAS J. SMITH
NPI: 1962664458
· REXBURG, ID 83440
· General Practice Dentistry
· NPI assigned 06/26/2008
$109K
Total Medicaid Paid
Provider Details
| Authorized Official | SMITH, DOUGLAS (OWNER-DENTIST) |
| NPI Enumeration Date | 06/26/2008 |
Related Entities
Other providers sharing the same authorized official: SMITH, DOUGLAS
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
544 |
$12K |
| 2019 |
288 |
$6K |
| 2020 |
774 |
$18K |
| 2021 |
720 |
$17K |
| 2022 |
584 |
$15K |
| 2023 |
757 |
$22K |
| 2024 |
748 |
$19K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
|
1,263 |
1,262 |
$83K |
| D1120 |
|
208 |
208 |
$12K |
| D2392 |
|
111 |
57 |
$7K |
| D0120 |
|
1,805 |
1,803 |
$4K |
| D0150 |
|
53 |
53 |
$1K |
| D0274 |
|
368 |
368 |
$855.62 |
| D0140 |
|
39 |
39 |
$702.41 |
| D1208 |
|
568 |
568 |
$27.10 |