Simply Pediatrics and Orthodontics of Pelham PLLC
Simply Pediatrics and Orthodontics of Pelham PLLC was paid $2.50M by Medicaid between Apr 2019 and Dec 2024, across 26 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 13% of everything it billed.
PELHAM, NH 03076
Next to other General Practice Dentistry providers in New Hampshire
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 7,211 | $255K | |
| 2020 | 11,108 | $327K | |
| 2021 | 14,192 | $404K | |
| 2022 | 11,280 | $433K | |
| 2023 | 12,916 | $563K | |
| 2024incomplete | 11,318 | $523K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 13% | 3,138 | 1,933 | $333K |
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 8,434 | 8,125 | $331K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 10,795 | 10,482 | $305K |
| D8670 | Periodic orthodontic treatment visit | 10% | 956 | 916 | $252K |
| D1110 | Prophylaxis - adult | 8.4% | 3,906 | 3,777 | $210K |
| D1206 | Topical application of fluoride varnish | 7.9% | 9,748 | 9,445 | $198K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 7.5% | 2,073 | 1,450 | $189K |
| D0274 | Bitewings - four radiographic images | 5.2% | 3,708 | 3,611 | $130K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.8% | 3,171 | 2,568 | $96K |
| D0272 | Bitewings - two radiographic images | 2.6% | 2,466 | 2,395 | $65K |
| D0140 | Limited oral evaluation - problem focused | 2.5% | 1,441 | 1,305 | $62K |
| D0330 | Panoramic radiographic image | 2.3% | 1,094 | 1,053 | $58K |
14 more codes
| D0150 | Comprehensive oral evaluation - new or established patient | 2.0% | 945 | $50K |
| D0220 | Intraoral - periapical first radiographic image | 1.9% | 3,896 | $47K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 1.5% | 168 | $37K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.4% | 3,350 | $35K |
| D1208 | Topical application of fluoride, excluding varnish | 1.3% | 1,540 | $33K |
| D7140 | Extraction, erupted tooth or exposed root | 1.2% | 316 | $30K |
| D1351 | Sealant - per tooth | <1% | 744 | $24K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 82 | $9K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 46 | $5K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 36 | $3K |
| D9310 | <1% | 14 | $756.00 | |
| D3120 | <1% | 21 | $617.70 | |
| D8660 | <1% | 12 | $248.00 | |
| D1999 | 0% | 5,925 | $0.00 |
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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.