RANDY SIMPSON, D.D.S., P.A.
NPI: 1316367600
· MOUNTAIN HOME, AR 72653
· General Practice Dentistry
· NPI assigned 04/24/2014
$131K
Total Medicaid Paid
Provider Details
| Authorized Official | SIMPSON, RANDY (PRESIDENT) |
| NPI Enumeration Date | 04/24/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
243 |
$7K |
| 2021 |
1,109 |
$29K |
| 2022 |
1,464 |
$40K |
| 2023 |
1,086 |
$29K |
| 2024 |
1,011 |
$27K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
980 |
974 |
$46K |
| D0120 |
Periodic oral evaluation - established patient |
1,265 |
1,257 |
$33K |
| D0272 |
Bitewings - two radiographic images |
1,081 |
1,074 |
$25K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,161 |
1,154 |
$22K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
26 |
14 |
$2K |
| D1120 |
Prophylaxis - child |
41 |
41 |
$1K |
| D0602 |
|
267 |
266 |
$1K |
| D0603 |
|
92 |
92 |
$395.00 |