Simmons, Donald

Simmons, Donald was paid $41K by Medicaid between Jan 2018 and Jan 2019, across 5 billing codes. Its largest line is D1110, Prophylaxis - adult — 30% of everything it billed.

33Billing provider infoSIMMONS, DONALD
RUSSELLVILLE, AR 72801

33aNPI1619035649assigned 12/04/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$41K

24GClaims1,590

24DCodes billed5

24AFirst – last monthJan 2018 – Jan 2019

Compared with peers

Next to other General Practice Dentistry providers in Arkansas

Rank by total paid#193 of 401

Median peer was paid$36K

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	1,447	$37K
2019	143	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	30%	295	279	$12K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	26%	445	424	$11K
D0272	Bitewings - two radiographic images	19%	362	350	$8K
D1208	Topical application of fluoride, excluding varnish	18%	404	389	$7K
D1120	Dental cleaning, childProphylaxis - child	6.9%	84	81	$3K

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.