Reid, Simone

Reid, Simone was paid $2K by Medicaid between Jan 2019 and Jan 2019, across 3 billing codes. Its largest line is D1110, Prophylaxis - adult — 44% of everything it billed.

33Billing provider infoREID, SIMONE
FAYETTEVILLE, NY 13066

33aNPI1093853392assigned 02/01/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$2K

24GClaims53

24DCodes billed3

24AFirst – last monthJan 2019 – Jan 2019

Compared with peers

Next to other General Practice Dentistry providers in New York

Rank by total paid#1,847 of 2,184

Median peer was paid$54K

This provider vs. median0.0×

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.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2019	53	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	44%	17	17	$1K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	28%	22	22	$671.40
D0274	Bitewings - four radiographic images	27%	14	14	$648.34

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.