SIMS, KENDALL
NPI: 1497084057
· NASHVILLE, TN 37221
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 12/10/2009
$305K
Total Medicaid Paid
1,452
Beneficiary Records
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,713 |
$146K |
| 2019 |
3,067 |
$158K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
3,509 |
413 |
$163K |
| D9243 |
|
814 |
186 |
$47K |
| D7240 |
Removal of impacted tooth - completely bony |
207 |
53 |
$39K |
| D9222 |
|
675 |
377 |
$34K |
| D9239 |
|
340 |
189 |
$15K |
| D0120 |
Periodic oral evaluation - established patient |
64 |
64 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
73 |
73 |
$1K |
| D1110 |
Prophylaxis - adult |
24 |
24 |
$1K |
| D0274 |
Bitewings - four radiographic images |
37 |
37 |
$989.80 |
| D1120 |
Prophylaxis - child |
23 |
22 |
$750.86 |
| D0330 |
Panoramic radiographic image |
14 |
14 |
$522.41 |