DR. JAMIE LYNN SMITH (D.D.S., M.S.) – Pediatric Dentistry, NPI 1093926768
Pediatric Dentistry
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. JAMIE LYNN SMITH (D.D.S., M.S.)
4207, North Prospect Road, Peoria Heights, Peoria County, Illinois, 61616, United States
PEORIA HEIGHTS, IL 616167754
Phone: (309) 685-4444
Type: Location
11013 N ONYX LN
DUNLAP, IL 615259579
Phone: (309) 243-8359
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $3,345.
Total Amount is formed as General ($3,345) + Research ($0) + Ownership ($0) = $3,345.
Last reported payment date: 2024-09-10 • Largest payer in this snapshot: A-dec, Inc. ($3,345).
Total Amount
$3,345
General + Research + Ownership
Payments
8
Total payment records
General Amount
$3,345
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| A-dec, Inc. | $3,345 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2015-07-07
PECOS data refreshed: 2026-05-27
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 61616)
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Reviews
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