Dental
Simkins-Wiseman, Octavia
Simkins-Wiseman, Octavia was paid $30K by Medicaid between Aug 2019 and Jul 2022, across 5 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 39% of everything it billed.
33Billing provider infoSIMKINS-WISEMAN, OCTAVIA
GLENN DALE, MD 20769
GLENN DALE, MD 20769
33aNPI1164648010assigned 04/18/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$30K
24GClaims1,017
24DCodes billed5
24AFirst – last monthAug 2019 – Jul 2022
Compared with peers
Next to other General Practice Dentistry providers in Maryland
Rank by total paid#331 of 598
Median peer was paid$42K
This provider vs. median0.7×
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 | 361 | $11K | |
| 2020 | 245 | $7K | |
| 2021 | 182 | $5K | |
| 2022 | 229 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 39% | 478 | 471 | $12K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 31% | 327 | 322 | $9K |
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 100 | 97 | $4K |
| D1110 | Prophylaxis - adult | 13% | 67 | 67 | $4K |
| D0274 | Bitewings - four radiographic images | 3.3% | 45 | 45 | $990.00 |
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.