Dental
Simon, Keith
Simon, Keith was paid $813K by Medicaid between Nov 2021 and Dec 2024, across 22 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 20% of everything it billed.
33Billing provider infoSIMON, KEITH
TAMPA, FL 33614
TAMPA, FL 33614
33aNPI1457748154assigned 04/20/2015
33bProvider typeDentist
28Total paid$813K
24GClaims46,868
24DCodes billed22
24AFirst – last monthNov 2021 – Dec 2024
Compared with peers
Next to other Dentist providers in Florida
Rank by total paid#46 of 542
Median peer was paid$25K
This provider vs. median32×
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 | |
|---|---|---|---|
| 2021 | 701 | $11K | |
| 2022 | 13,861 | $285K | |
| 2023 | 16,577 | $331K | |
| 2024incomplete | 15,729 | $186K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 20% | 3,411 | 1,126 | $163K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 20% | 1,377 | 574 | $159K |
| D0210 | Intraoral - complete series of radiographic images | 15% | 1,295 | 1,291 | $121K |
| D1110 | Prophylaxis - adult | 14% | 2,090 | 2,078 | $118K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 3,064 | 3,048 | $97K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.9% | 1,581 | 1,338 | $40K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.9% | 4,560 | 3,416 | $24K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.7% | 1,727 | 1,721 | $22K |
| D1351 | Sealant - per tooth | 1.6% | 2,017 | 619 | $13K |
| D1120 | Dental cleaning, childProphylaxis - child | 1.5% | 2,968 | 2,958 | $12K |
| D1208 | Topical application of fluoride, excluding varnish | 1.4% | 5,019 | 4,996 | $12K |
| D2394 | <1% | 32 | 16 | $7K |
10 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 978 | $5K |
| D0140 | Limited oral evaluation - problem focused | <1% | 353 | $4K |
| D0274 | Bitewings - four radiographic images | <1% | 1,662 | $4K |
| D1330 | <1% | 4,743 | $4K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 3,801 | $3K |
| D0603 | <1% | 4,904 | $2K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 45 | $1K |
| D0272 | Bitewings - two radiographic images | <1% | 1,037 | $1K |
| D7111 | <1% | 179 | $729.15 | |
| D9999 | Unspecified adjunctive procedure, by report | <1% | 25 | $625.00 |
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.