Sims, Kendall

Sims, Kendall was paid $305K by Medicaid between Jan 2018 and Dec 2019, across 11 billing codes. Its largest line is D9223, Deep sedation/general anesthesia - each subsequent 15 minute increment — 54% of everything it billed.

33Billing provider infoSIMS, KENDALL
NASHVILLE, TN 37221

33aNPI1497084057assigned 12/10/2009

33bProvider typeOral and Maxillofacial Surgery (Dentist)

28Total paid$305K

24GClaims5,780

24DCodes billed11

24AFirst – last monthJan 2018 – Dec 2019

Compared with peers

Next to other Oral and Maxillofacial Surgery (Dentist) providers in Tennessee

Rank by total paid#26 of 58

Median peer was paid$274K

This provider vs. median1.1×

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	2,713	$146K
2019	3,067	$158K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D9223	Deep sedation/general anesthesia - each subsequent 15 minute increment	54%	3,509	413	$163K
D9243		15%	814	186	$47K
D7240	Removal of impacted tooth - completely bony	13%	207	53	$39K
D9222		11%	675	377	$34K
D9239		5.0%	340	189	$15K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	<1%	64	64	$2K
D1208	Topical application of fluoride, excluding varnish	<1%	73	73	$1K
D1110	Prophylaxis - adult	<1%	24	24	$1K
D0274	Bitewings - four radiographic images	<1%	37	37	$989.80
D1120	Dental cleaning, childProphylaxis - child	<1%	23	22	$750.86
D0330	Panoramic radiographic image	<1%	14	14	$522.41

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.