Dental
Toma, Petros & Simhairy DDS INC.
Toma, Petros & Simhairy DDS INC. was paid $2.10M by Medicaid between Mar 2020 and Nov 2024, across 35 billing codes. Its largest line is D2740, Crown - porcelain/ceramic — 24% of everything it billed.
33Billing provider infoTOMA, PETROS & SIMHAIRY DDS INC.
EL CAJON, CA 92019
EL CAJON, CA 92019
33aNPI1114483609assigned 02/20/2019
33bProvider typeGeneral Practice Dentistry
28Total paid$2.10M
24GClaims48,082
24DCodes billed35
24AFirst – last monthMar 2020 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#285 of 2,668
Median peer was paid$173K
This provider vs. median12×
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 | |
|---|---|---|---|
| 2020 | 3,028 | $112K | |
| 2021 | 8,218 | $260K | |
| 2022 | 10,833 | $464K | |
| 2023 | 12,131 | $634K | |
| 2024incomplete | 13,872 | $631K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2740 | Crown - porcelain/ceramic | 24% | 1,084 | 685 | $503K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 3,354 | 1,885 | $222K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 9.3% | 2,481 | 1,453 | $195K |
| D1110 | Prophylaxis - adult | 6.4% | 1,622 | 1,618 | $134K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.2% | 1,967 | 1,962 | $130K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.7% | 1,524 | 1,517 | $120K |
| D2954 | 4.5% | 922 | 614 | $94K | |
| D0350 | 4.1% | 8,995 | 2,876 | $86K | |
| D0210 | Intraoral - complete series of radiographic images | 3.8% | 1,692 | 1,687 | $80K |
| D9430 | 3.3% | 2,214 | 2,062 | $70K | |
| D4910 | 2.8% | 854 | 839 | $59K | |
| D2394 | 2.6% | 671 | 471 | $55K |
23 more codes
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | 2.5% | 119 | $54K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.3% | 11,919 | $49K |
| D1206 | Topical application of fluoride varnish | 2.0% | 2,788 | $42K |
| D1120 | Dental cleaning, child | 2.0% | 921 | $41K |
| D0274 | Bitewings - four radiographic images | 1.4% | 1,410 | $28K |
| D2335 | 1.2% | 211 | $25K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,592 | $19K |
| D4341 | <1% | 264 | $17K | |
| D3320 | <1% | 43 | $16K | |
| D2331 | <1% | 180 | $14K | |
| D2332 | <1% | 141 | $11K | |
| D3221 | <1% | 179 | $11K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 135 | $8K |
| D1320 | <1% | 331 | $6K | |
| D2330 | <1% | 50 | $4K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 26 | $3K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 39 | $2K |
| D0330 | Panoramic radiographic image | <1% | 68 | $2K |
| D9110 | <1% | 12 | $693.00 | |
| D0140 | Limited oral evaluation - problem focused | <1% | 15 | $525.00 |
| D0272 | Bitewings - two radiographic images | <1% | 13 | $144.00 |
| D1999 | <1% | 229 | $10.00 | |
| D1330 | 0% | 17 | $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.
From NPPES
Who's on the registration
Authorized officialPETROS, DHAFIR (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Toma&petros DDS INC | San Diego, CA | $94K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.