Managed care
Simona D. Kiss D.D.S. Professional Dental Corporation
Simona D. Kiss D.D.S. Professional Dental Corporation was paid $9K by Medicaid between Feb 2018 and May 2022, across 6 billing codes. Its largest line is D0120, dental checkup, returning patient — 51% of everything it billed.
33Billing provider infoSIMONA D. KISS D.D.S. PROFESSIONAL DENTAL CORPORATION
TUSTIN, CA 92780
TUSTIN, CA 92780
33aNPI1124423066assigned 11/04/2014
33bProvider typePreferred Provider Organization
28Total paid$9K
24GClaims351
24DCodes billed6
24AFirst – last monthFeb 2018 – May 2022
Compared with peers
Next to other Preferred Provider Organization providers in California
Rank by total paid#76 of 100
Median peer was paid$80K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2018 | 95 | $2K | |
| 2019 | 69 | $3K | |
| 2020 | 136 | $3K | |
| 2021 | 12 | $540.00 | |
| 2022 | 39 | $368.55 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 51% | 113 | 113 | $4K |
| D1110 | Prophylaxis - adult | 26% | 26 | 26 | $2K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.4% | 25 | 25 | $750.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 6.6% | 138 | 69 | $586.05 |
| D0274 | Bitewings - four radiographic images | 5.8% | 24 | 24 | $518.40 |
| D1208 | Topical application of fluoride, excluding varnish | 2.3% | 25 | 25 | $200.00 |
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 officialKISS, SIMONA (DENTIST, DIRECTOR)