Simon, Jeremy

Simon, Jeremy was paid $7K by Medicaid between Feb 2018 and Aug 2020, across 2 billing codes. Its largest line is D0120, dental checkup, returning patient — 59% of everything it billed.

33Billing provider infoSIMON, JEREMY
ALMA, AR 72921

33aNPI1306867767assigned 07/21/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$7K

24GClaims332

24DCodes billed2

24AFirst – last monthFeb 2018 – Aug 2020

Compared with peers

Next to other General Practice Dentistry providers in Arkansas

Rank by total paid#307 of 401

Median peer was paid$36K

This provider vs. median0.2×

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	101	$2K
2019	129	$3K
2020	102	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	59%	170	157	$4K
D1208	Topical application of fluoride, excluding varnish	41%	162	145	$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.