Dental
Pereira, Simmone
Pereira, Simmone was paid $605K by Medicaid between Jan 2018 and Dec 2024, across 27 billing codes. Its largest line is D1110, Prophylaxis - adult — 17% of everything it billed.
33Billing provider infoPEREIRA, SIMMONE
ELK GROVE, CA 95757
ELK GROVE, CA 95757
33aNPI1437242377assigned 10/02/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$605K
24GClaims33,692
24DCodes billed27
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#797 of 2,668
Median peer was paid$173K
This provider vs. median3.5×
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 | 5,657 | $80K | |
| 2019 | 7,329 | $79K | |
| 2020 | 5,053 | $99K | |
| 2021 | 5,692 | $105K | |
| 2022 | 4,448 | $109K | |
| 2023 | 3,181 | $75K | |
| 2024incomplete | 2,332 | $57K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 17% | 2,110 | 2,042 | $104K |
| D0150 | Comprehensive oral evaluation - new or established patient | 15% | 2,876 | 2,776 | $91K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 1,676 | 888 | $68K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 1,845 | 1,776 | $66K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.0% | 1,975 | 1,903 | $55K |
| D1208 | Topical application of fluoride, excluding varnish | 7.7% | 3,319 | 3,245 | $47K |
| D0274 | Bitewings - four radiographic images | 5.9% | 3,267 | 3,168 | $36K |
| D0330 | Panoramic radiographic image | 4.8% | 2,072 | 1,999 | $29K |
| D0220 | Intraoral - periapical first radiographic image | 4.8% | 4,112 | 3,891 | $29K |
| D1206 | Topical application of fluoride varnish | 3.2% | 826 | 796 | $19K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.8% | 514 | 251 | $17K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.0% | 4,488 | 3,605 | $12K |
15 more codes
| D9430 | 1.9% | 588 | $12K | |
| D9999 | Unspecified adjunctive procedure, by report | 1.2% | 71 | $7K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 118 | $5K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 111 | $5K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 57 | $2K |
| D1351 | Sealant - per tooth | <1% | 98 | $2K |
| D1310 | <1% | 670 | $966.00 | |
| D4341 | <1% | 39 | $460.00 | |
| D0603 | <1% | 437 | $404.00 | |
| D0350 | <1% | 43 | $60.00 | |
| D1330 | 0% | 1,798 | $0.00 | |
| D9992 | 0% | 16 | $0.00 | |
| D9994 | 0% | 31 | $0.00 | |
| D9993 | 0% | 361 | $0.00 | |
| D9986 | 0% | 174 | $0.00 |
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.