Dental
Simpson, Jonathan
Simpson, Jonathan was paid $180K by Medicaid between Jan 2018 and Dec 2018, across 21 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 25% of everything it billed.
33Billing provider infoSIMPSON, JONATHAN
NORTH PLATTE, NE 69101
NORTH PLATTE, NE 69101
33aNPI1295933414assigned 07/10/2007
33bProvider typePediatric Dentist
28Total paid$180K
24GClaims6,573
24DCodes billed21
24AFirst – last monthJan 2018 – Dec 2018
Compared with peers
Next to other Pediatric Dentist providers in Nebraska
Rank by total paid#30 of 52
Median peer was paid$292K
This provider vs. median0.6×
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 | 6,573 | $180K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 25% | 399 | 101 | $45K |
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 1,043 | 1,043 | $26K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 918 | 918 | $20K |
| D1206 | Topical application of fluoride varnish | 11% | 1,005 | 1,002 | $20K |
| D1351 | Sealant - per tooth | 6.2% | 459 | 124 | $11K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.9% | 153 | 105 | $11K |
| D7140 | Extraction, erupted tooth or exposed root | 5.1% | 148 | 63 | $9K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.2% | 141 | 101 | $8K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.0% | 260 | 233 | $7K |
| D0272 | Bitewings - two radiographic images | 3.0% | 473 | 471 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.8% | 152 | 152 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | 1.6% | 162 | 162 | $3K |
9 more codes
| D0220 | Intraoral - periapical first radiographic image | 1.3% | 422 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.2% | 557 | $2K |
| D9420 | 1.2% | 28 | $2K | |
| D1110 | Prophylaxis - adult | <1% | 42 | $1K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 30 | $1K |
| D0274 | Bitewings - four radiographic images | <1% | 62 | $1K |
| D0140 | Limited oral evaluation - problem focused | <1% | 29 | $594.00 |
| D0240 | <1% | 73 | $490.00 | |
| D0330 | Panoramic radiographic image | <1% | 17 | $324.00 |
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.