Dental
Simmons, Jaime
Simmons, Jaime was paid $221K by Medicaid between Nov 2020 and Dec 2024, across 15 billing codes. Its largest line is D0145, Oral evaluation for a patient under three years of age — 30% of everything it billed.
33Billing provider infoSIMMONS, JAIME
SEGUIN, TX 78155
SEGUIN, TX 78155
33aNPI1497189674assigned 08/24/2013
33bProvider typePediatric Dentist
28Total paid$221K
24GClaims10,627
24DCodes billed15
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Texas
Rank by total paid#368 of 693
Median peer was paid$252K
This provider vs. median0.9×
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 | |
|---|---|---|---|
| 2020 | 378 | $7K | |
| 2021 | 2,295 | $48K | |
| 2022 | 2,875 | $60K | |
| 2023 | 3,095 | $63K | |
| 2024incomplete | 1,984 | $43K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0145 | Oral evaluation for a patient under three years of age | 30% | 476 | 475 | $67K |
| D1120 | Dental cleaning, childProphylaxis - child | 18% | 1,142 | 1,142 | $39K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 1,175 | 1,174 | $31K |
| D0230 | Intraoral - periapical each additional radiographic image | 9.0% | 1,999 | 1,060 | $20K |
| D0272 | Bitewings - two radiographic images | 6.8% | 698 | 696 | $15K |
| D0220 | Intraoral - periapical first radiographic image | 6.0% | 1,179 | 1,171 | $13K |
| D1351 | Sealant - per tooth | 5.9% | 466 | 114 | $13K |
| D1206 | Topical application of fluoride varnish | 5.6% | 902 | 902 | $12K |
| D1208 | Topical application of fluoride, excluding varnish | 2.6% | 430 | 430 | $6K |
| D0210 | Intraoral - complete series of radiographic images | 1.0% | 41 | 41 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 27 | 27 | $812.36 |
| D1110 | Prophylaxis - adult | <1% | 12 | 12 | $603.68 |
3 more codes
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.