Clinic
Simply Wisdom Teeth PLLC
Simply Wisdom Teeth PLLC was paid $13K by Medicaid between Mar 2018 and Aug 2018, across 1 billing code. Its largest line is 00170, Anesthesia for intraoral procedures, including biopsy — 100% of everything it billed.
33Billing provider infoSIMPLY WISDOM TEETH PLLC
SAINT GEORGE, UT 84790
SAINT GEORGE, UT 84790
33aNPI1255857728assigned 08/16/2017
33bProvider typeDental Clinic/Center
28Total paid$13K
24GClaims56
24DCodes billed1
24AFirst – last monthMar 2018 – Aug 2018
Compared with peers
Next to other Dental Clinic/Center providers in Utah
Rank by total paid#27 of 37
Median peer was paid$90K
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 | 56 | $13K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 00170 | Anesthesia for intraoral procedures, including biopsy | 100% | 56 | 56 | $13K |
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 officialHENDRICKSON, NIELS (MANAGER)