Octavia Simkins-Wiseman DDS PC

Octavia Simkins-Wiseman DDS PC was paid $39K by Medicaid between Jan 2018 and Apr 2019, across 7 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 27% of everything it billed.

33Billing provider infoOCTAVIA SIMKINS-WISEMAN DDS PC
GLENN DALE, MD 20769

33aNPI1548536949assigned 03/29/2012

33bProvider typeDentist

28Total paid$39K

24GClaims1,065

24DCodes billed7

24AFirst – last monthJan 2018 – Apr 2019

Compared with peers

Next to other Dentist providers in Maryland

Rank by total paid#218 of 415

Median peer was paid$47K

This provider vs. median0.8×

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	819	$30K
2019	246	$9K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1206	Topical application of fluoride varnish	27%	414	413	$10K
D1110	Prophylaxis - adult	22%	146	145	$8K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	19%	257	256	$7K
D1120	Dental cleaning, childProphylaxis - child	17%	155	155	$7K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	11%	36	14	$4K
D0274	Bitewings - four radiographic images	2.6%	45	45	$1K
D0150	Comprehensive oral evaluation - new or established patient	1.6%	12	12	$635.50

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 officialSIMKINS-WISEMAN, OCTAVIA (CEO)