Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

JARED SMITH, PROFESSIONAL LLC

NPI: 1992279384 · BAILEY, CO 80421 · Prosthodontist · NPI assigned 01/18/2019

$62K
Total Medicaid Paid
1,656
Total Claims
1,514
Beneficiaries
10
Codes Billed
2019-04
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSMITH, JARED (OWNER DENTIST)
NPI Enumeration Date01/18/2019

Related Entities

Other providers sharing the same authorized official: SMITH, JARED

ProviderCityStateTotal Paid
BETHESDA HOSPITAL, INC. BOYNTON BEACH FL $23.18M
ACUTE CARE BILLING LLC WINFIELD KS $342K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 37 $1K
2020 110 $6K
2021 235 $7K
2022 449 $19K
2023 556 $23K
2024 269 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 378 374 $15K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 87 52 $11K
D0210 Intraoral - complete series of radiographic images 109 106 $8K
D0220 Intraoral - periapical first radiographic image 648 576 $8K
D2391 Resin-based composite - one surface, posterior, primary or permanent 78 54 $8K
D0120 Periodic oral evaluation - established patient 210 206 $5K
D1110 Prophylaxis - adult 70 70 $3K
D4910 38 38 $3K
D0274 Bitewings - four radiographic images 26 26 $764.08
D1208 Topical application of fluoride, excluding varnish 12 12 $134.75