ROBERT L. SIMMONS, DMD, PSC
NPI: 1265583124
· GREENSBURG, KY 42743
· General Practice Dentistry
· NPI assigned 01/16/2007
$117K
Total Medicaid Paid
Provider Details
| Authorized Official | SIMMONS, ROBERT (DENTIST) |
| NPI Enumeration Date | 01/16/2007 |
Related Entities
Other providers sharing the same authorized official: SIMMONS, ROBERT
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,045 |
$26K |
| 2019 |
1,394 |
$30K |
| 2020 |
1,240 |
$34K |
| 2021 |
1,006 |
$27K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0140 |
Limited oral evaluation - problem focused |
1,070 |
1,006 |
$28K |
| D1110 |
Prophylaxis - adult |
538 |
518 |
$19K |
| D7140 |
Extraction, erupted tooth or exposed root |
595 |
275 |
$19K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
821 |
778 |
$18K |
| D0330 |
Panoramic radiographic image |
536 |
513 |
$18K |
| D0220 |
Intraoral - periapical first radiographic image |
725 |
658 |
$5K |
| D0210 |
Intraoral - complete series of radiographic images |
57 |
56 |
$3K |
| D0274 |
Bitewings - four radiographic images |
128 |
123 |
$3K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
27 |
26 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
133 |
119 |
$2K |
| D9110 |
|
27 |
24 |
$493.20 |
| D0230 |
Intraoral - periapical each additional radiographic image |
28 |
28 |
$165.13 |