Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MI › PORT SANILAC › THOMAS A SIMMONS DDS MARY ANNE SIMMONS DDS, PC

THOMAS A SIMMONS DDS MARY ANNE SIMMONS DDS, PC

NPI: 1043298433 · PORT SANILAC, MI 48469 · General Practice Dentistry · NPI assigned 01/05/2006

$35K
Total Medicaid Paid
1,200
Total Claims
1,200
Beneficiaries
3
Codes Billed
2018-04
First Month
2022-09
Last Month

Provider Details

Authorized OfficialSIMMONS, THOMAS (PRESIDENT)
NPI Enumeration Date01/05/2006

Related Entities

Other providers sharing the same authorized official: SIMMONS, THOMAS

ProviderCityStateTotal Paid
THOMAS L SIMMONS VICTOR ID $38K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 202 $6K
2019 300 $9K
2020 262 $8K
2021 239 $7K
2022 197 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 482 482 $13K
D1120 Prophylaxis - child 279 279 $11K
D1206 Topical application of fluoride varnish 439 439 $11K