Smith, Shane

Smith, Shane was paid $60K by Medicaid between Jan 2018 and Mar 2020, across 6 billing codes. Its largest line is D0120, dental checkup, returning patient — 30% of everything it billed.

33Billing provider infoSMITH, SHANE
JONESBORO, AR 72401

33aNPI1982157038assigned 07/25/2016

33bProvider typeGeneral Practice Dentistry

28Total paid$60K

24GClaims2,189

24DCodes billed6

24AFirst – last monthJan 2018 – Mar 2020

Compared with peers

Next to other General Practice Dentistry providers in Arkansas

Rank by total paid#161 of 401

Median peer was paid$36K

This provider vs. median1.7×

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	857	$23K
2019	1,120	$31K
2020	212	$6K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	30%	698	647	$18K
D1206	Topical application of fluoride varnish	22%	681	630	$13K
D1110	Prophylaxis - adult	22%	284	274	$13K
D0272	Bitewings - two radiographic images	13%	347	342	$8K
D1120	Dental cleaning, childProphylaxis - child	9.9%	166	161	$6K
D0210	Intraoral - complete series of radiographic images	1.9%	13	12	$1K

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.