SIMISTER, JEFFREY
NPI: 1386746394
· ST GEORGE, UT 84790
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 09/01/2006
$159K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
230 |
$159K |
| 2019 |
12 |
$244.40 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8080 |
Comprehensive orthodontic treatment of the adolescent dentition |
47 |
42 |
$155K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
25 |
25 |
$3K |
| D0470 |
|
62 |
62 |
$244.40 |
| D0330 |
Panoramic radiographic image |
25 |
25 |
$90.83 |
| D8680 |
|
46 |
42 |
$0.00 |
| D0350 |
|
37 |
37 |
$0.00 |