Dental
Sims, Robert
Sims, Robert was paid $1.02M by Medicaid between Jan 2018 and Dec 2024, across 3 billing codes. Its largest line is D8670, Periodic orthodontic treatment visit — 91% of everything it billed.
33Billing provider infoSIMS, ROBERT
NASHVILLE, TN 37215
NASHVILLE, TN 37215
33aNPI1316022437assigned 10/26/2006
33bProvider typeOrthodontics and Dentofacial Orthopedic Dentist
28Total paid$1.02M
24GClaims12,400
24DCodes billed3
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Orthodontics and Dentofacial Orthopedic Dentist providers in Tennessee
Rank by total paid#16 of 79
Median peer was paid$240K
This provider vs. median4.3×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Single-Code Concentration91% of spending on code D8670 with only 3 total codes billed. Highly concentrated billing profile.
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 | 2,023 | $135K | |
| 2019 | 1,927 | $160K | |
| 2020 | 1,537 | $124K | |
| 2021 | 1,858 | $152K | |
| 2022 | 1,866 | $174K | |
| 2023 | 1,816 | $159K | |
| 2024incomplete | 1,373 | $121K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D8670 | Periodic orthodontic treatment visit | 91% | 11,276 | 9,840 | $935K |
| D8660 | 5.0% | 1,097 | 1,088 | $51K | |
| D8080 | Comprehensive orthodontic treatment of the adolescent dentition | 3.8% | 27 | 26 | $39K |
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.