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

Simmons, Candace

Simmons, Candace was paid $250K by Medicaid between Oct 2021 and Dec 2024, across 12 billing codes. Its largest line is D1110, Prophylaxis - adult — 22% of everything it billed.

33Billing provider infoSIMMONS, CANDACE
SMYRNA, TN 37167
33aNPI1477719383assigned 07/30/2008
33bProvider typeDentist
28Total paid$250K
24GClaims9,347
24DCodes billed12
24AFirst – last monthOct 2021 – Dec 2024
Compared with peers

Next to other Dentist providers in Tennessee

Rank by total paid#100 of 242
Median peer was paid$164K
This provider vs. median1.5×

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

$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
2021765$19K
20222,602$68K
20233,130$86K
2024incomplete2,850$77K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1110 Prophylaxis - adult 22% 1,282 1,268 $55K
D1208 Topical application of fluoride, excluding varnish 16% 1,849 1,828 $40K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 13% 1,369 1,362 $33K
D0274 Bitewings - four radiographic images 12% 1,141 1,125 $30K
D0330 Panoramic radiographic image 9.7% 707 698 $24K
D0150 Comprehensive oral evaluation - new or established patient 6.4% 574 558 $16K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 5.6% 481 445 $14K
D1120 Dental cleaning, childProphylaxis - child 4.3% 325 320 $11K
D0220 Intraoral - periapical first radiographic image 4.1% 829 820 $10K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 3.7% 123 91 $9K
D0230 Intraoral - periapical each additional radiographic image 2.4% 639 607 $6K
D2391 Resin-based composite - one surface, posterior, primary or permanent <1% 28 24 $2K

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.