Clinic
Simply Dental PLLC
Simply Dental PLLC was paid $619K by Medicaid between Jan 2018 and Nov 2024, across 13 billing codes. Its largest line is D1110, Prophylaxis - adult — 29% of everything it billed.
33Billing provider infoSIMPLY DENTAL PLLC
ELMHURST, NY 11373
ELMHURST, NY 11373
33aNPI1164683215assigned 06/20/2008
33bProvider typeDental Clinic/Center
28Total paid$619K
24GClaims25,757
24DCodes billed13
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Dental Clinic/Center providers in New York
Rank by total paid#38 of 188
Median peer was paid$113K
This provider vs. median5.5×
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 | 3,689 | $91K | |
| 2019 | 4,786 | $116K | |
| 2020 | 2,190 | $54K | |
| 2021 | 4,593 | $123K | |
| 2022 | 3,008 | $67K | |
| 2023 | 3,976 | $91K | |
| 2024incomplete | 3,515 | $78K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 29% | 3,948 | 3,945 | $180K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 16% | 4,246 | 4,242 | $97K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 14% | 1,519 | 1,059 | $87K |
| D0230 | Intraoral - periapical each additional radiographic image | 11% | 4,588 | 4,572 | $68K |
| D0220 | Intraoral - periapical first radiographic image | 8.8% | 5,074 | 5,046 | $55K |
| D0274 | Bitewings - four radiographic images | 6.8% | 2,047 | 2,047 | $42K |
| D0210 | Intraoral - complete series of radiographic images | 6.4% | 2,331 | 2,304 | $40K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.1% | 346 | 302 | $25K |
| D1208 | Topical application of fluoride, excluding varnish | 2.0% | 1,093 | 1,091 | $12K |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 163 | 162 | $5K |
| D4341 | <1% | 42 | 25 | $3K | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 124 | 124 | $3K |
1 more codes
| D0140 | Limited oral evaluation - problem focused | <1% | 236 | $3K |
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 officialHE, THOMAS (DENTIST)