Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Simmons, Raymond

Simmons, Raymond was paid $419K by Medicaid between Jan 2018 and Jun 2023, across 17 billing codes. Its largest line is D1120, dental cleaning, child — 25% of everything it billed.

33Billing provider infoSIMMONS, RAYMOND
LONG BRANCH, NJ 07740
33aNPI1457425993assigned 11/17/2006
33bProvider typeDentist
28Total paid$419K
24GClaims15,864
24DCodes billed17
24AFirst – last monthJan 2018 – Jun 2023
Compared with peers

Next to other Dentist providers in New Jersey

Rank by total paid#110 of 674
Median peer was paid$27K
This provider vs. median16×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
20184,486$113K
20194,024$98K
20201,565$47K
20211,867$55K
20222,616$70K
20231,306$36K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1120 Dental cleaning, childProphylaxis - child 25% 2,637 2,629 $107K
D1206 Topical application of fluoride varnish 19% 2,728 2,720 $79K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 15% 2,814 2,802 $64K
D0140 Limited oral evaluation - problem focused 13% 1,512 1,438 $53K
D1110 Prophylaxis - adult 6.4% 754 748 $27K
D0274 Bitewings - four radiographic images 4.7% 1,875 1,865 $20K
D0330 Panoramic radiographic image 4.7% 661 657 $20K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 4.4% 319 233 $18K
D0150 Comprehensive oral evaluation - new or established patient 3.6% 827 823 $15K
D2391 Resin-based composite - one surface, posterior, primary or permanent 2.2% 192 151 $9K
D7140 Extraction, erupted tooth or exposed root <1% 108 67 $3K
D0220 Intraoral - periapical first radiographic image <1% 526 509 $2K
5 more codes
D1351 Sealant - per tooth <1% 88 $1K
D0602 <1% 26 $180.00
D0230 Intraoral - periapical each additional radiographic image <1% 34 $84.00
D1330 0% 530 $0.00
D1999 0% 233 $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.