SIMLEY DENTAL-LANCASTER PLLC
NPI: 1528570157
· LANCASTER, TX 75146
· General Practice Dentistry
· NPI assigned 11/05/2017
$138K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
32 |
$0.00 |
| 2021 |
1,223 |
$17K |
| 2022 |
2,316 |
$29K |
| 2023 |
3,119 |
$47K |
| 2024 |
2,895 |
$44K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1351 |
Sealant - per tooth |
905 |
162 |
$22K |
| D1120 |
Prophylaxis - child |
610 |
595 |
$21K |
| D0120 |
Periodic oral evaluation - established patient |
712 |
700 |
$19K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,260 |
1,228 |
$17K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,734 |
1,147 |
$15K |
| D0274 |
Bitewings - four radiographic images |
517 |
496 |
$15K |
| D0220 |
Intraoral - periapical first radiographic image |
1,343 |
1,290 |
$13K |
| D1110 |
Prophylaxis - adult |
151 |
148 |
$8K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
170 |
160 |
$5K |
| D0330 |
Panoramic radiographic image |
56 |
49 |
$1K |
| D0603 |
|
2,127 |
2,064 |
$0.00 |