DOUGLAS HOWARD SMITH, dds
NPI 1134454127, individual, Wooster, OH, Dentist
- Listed on the Medicare revocation list since February 7, 2023.
- Medicaid still paid claims in 2 later months, $2,252 in total.
Public list actions
Paid after the action
Months in which Medicaid paid claims for this provider after a public action that should have triggered a screening check. This is a record of payments, not a determination that they were improper.
| list | identity check | action date | window closed | months paid after | first | last | paid after | 12 months before |
|---|---|---|---|---|---|---|---|---|
| Medicare revocation list 424.535(a)(9) failure to report and 424.535(a)(3) felonies | Exact NPI, name verified | Feb 7, 2023 | Feb 7, 2033 | 2 | Mar 2023 | Apr 2023 | $2K | $36K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | DOUGLAS HOWARD SMITH, dds |
| Type | Individual |
| Status | Active |
| NPI issued | October 8, 2009, last updated October 8, 2009 |
| Practice location | 130 S 130 ST, Wooster, OH 44691, 330-264-9678 |
| Mailing address | 16400 SOUTH MARKS ROAD, Columbia Station, OH 44028 |
| Specialties | Dentist (122300000X, primary, license 30-16682 OH) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| D0210 | Medicaid service code | $78K | 33% | $39 | $47 (top 5% from $78) | 33rd percentile | |
| D1110 | Medicaid service code | $62K | 26% | $20 | $45 (top 5% from $86) | 11th percentile | |
| D0150 | Medicaid service code | $45K | 19% | $17 | $35 (top 5% from $66) | 11th percentile | |
| D0120 | Medicaid service code | $28K | 12% | $9.42 | $26 (top 5% from $63) | 7th percentile | |
| D0140 | Limited oral evaluation - problem focused | $18K | 8% | $14 | $29 (top 5% from $60) | 17th percentile | |
| D0274 | Medicaid service code | $2K | 1% | $16 | $23 (top 5% from $40) | 22nd percentile | |
| D7140 | Extraction, erupted tooth or exposed root (elevation and/or forceps removal) | $2K | 1% | $62 | $110 (top 5% from $283) | too few months to rank | |
| D0230 | Medicaid service code | $670 | 0% | $9.57 | $12 (top 5% from $28) | too few months to rank |
In this area
2 providers in Wayne County, OH carry an indicator in the public record, with $0 at stake between them. The most common is part of a provider network, on 2 of them.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | SMITHVILLE WESTERN INC. Wooster, OH, ranked 2598 | $0 |
|
| 3 | PROGRESSIVE PINES, LLC Wooster, OH, ranked 4644 | $0 |
|
Recent enforcement in OH
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.