Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Simley Dental-Lancaster PLLC

Simley Dental-Lancaster PLLC was paid $138K by Medicaid between Nov 2020 and Dec 2024, across 11 billing codes. Its largest line is D1351, Sealant - per tooth — 16% of everything it billed.

33Billing provider infoSIMLEY DENTAL-LANCASTER PLLC
LANCASTER, TX 75146
33aNPI1528570157assigned 11/05/2017
28Total paid$138K
24GClaims9,585
24DCodes billed11
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers

Next to other General Practice Dentistry providers in Texas

Rank by total paid#945 of 2,774
Median peer was paid$43K
This provider vs. median3.2×

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$10K2018201920202021202220232024
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
202032$0.00
20211,223$17K
20222,316$29K
20233,119$47K
2024incomplete2,895$44K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1351 Sealant - per tooth 16% 905 162 $22K
D1120 Dental cleaning, childProphylaxis - child 15% 610 595 $21K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 14% 712 700 $19K
D1208 Topical application of fluoride, excluding varnish 13% 1,260 1,228 $17K
D0230 Intraoral - periapical each additional radiographic image 11% 1,734 1,147 $15K
D0274 Bitewings - four radiographic images 11% 517 496 $15K
D0220 Intraoral - periapical first radiographic image 9.4% 1,343 1,290 $13K
D1110 Prophylaxis - adult 5.6% 151 148 $8K
D0150 Comprehensive oral evaluation - new or established patient 3.9% 170 160 $5K
D0330 Panoramic radiographic image <1% 56 49 $1K
D0603 0% 2,127 2,064 $0.00

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.

From NPPES

Who's on the registration

Authorized officialSETTI, SONYMEENA (DENTIST)