SIMS, ROBERT
NPI: 1316022437
· NASHVILLE, TN 37215
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 10/26/2006
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
91% of spending on code D8670 with only 3 total codes billed. Highly concentrated billing profile.
$1.02M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,023 |
$135K |
| 2019 |
1,927 |
$160K |
| 2020 |
1,537 |
$124K |
| 2021 |
1,858 |
$152K |
| 2022 |
1,866 |
$174K |
| 2023 |
1,816 |
$159K |
| 2024 |
1,373 |
$121K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8670 |
Periodic orthodontic treatment visit |
11,276 |
9,840 |
$935K |
| D8660 |
|
1,097 |
1,088 |
$51K |
| D8080 |
Comprehensive orthodontic treatment of the adolescent dentition |
27 |
26 |
$39K |