SIMPSON DENTAL CARE, PC
NPI: 1265942650
· TIGARD, OR 97224
· Dental Clinic/Center
· NPI assigned 10/11/2017
$150K
Total Medicaid Paid
Provider Details
| Authorized Official | SIMPSON, SCOTT (PRESIDENT) |
| NPI Enumeration Date | 10/11/2017 |
Related Entities
Other providers sharing the same authorized official: SIMPSON, SCOTT
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
380 |
$10K |
| 2019 |
1,529 |
$38K |
| 2020 |
1,771 |
$32K |
| 2021 |
3,222 |
$69K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
965 |
962 |
$44K |
| D1206 |
Topical application of fluoride varnish |
1,620 |
1,616 |
$30K |
| D0120 |
Periodic oral evaluation - established patient |
1,081 |
1,078 |
$22K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
536 |
535 |
$20K |
| D0274 |
Bitewings - four radiographic images |
525 |
524 |
$9K |
| D0603 |
|
679 |
678 |
$7K |
| D0210 |
Intraoral - complete series of radiographic images |
91 |
91 |
$5K |
| D4910 |
|
66 |
66 |
$4K |
| D1120 |
Prophylaxis - child |
93 |
93 |
$4K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
20 |
14 |
$1K |
| D1999 |
|
1,043 |
935 |
$1K |
| D0330 |
Panoramic radiographic image |
156 |
156 |
$1K |
| D0140 |
Limited oral evaluation - problem focused |
12 |
12 |
$420.00 |
| D0220 |
Intraoral - periapical first radiographic image |
15 |
12 |
$130.00 |