Dental
Simantiris, Daman
Simantiris, Daman was paid $375K by Medicaid between Aug 2018 and Nov 2024, across 21 billing codes. Its largest line is D7140, Extraction, erupted tooth or exposed root — 25% of everything it billed.
33Billing provider infoSIMANTIRIS, DAMAN
CLEVELAND, OH 44109
CLEVELAND, OH 44109
33aNPI1619238854assigned 06/05/2012
33bProvider typeGeneral Practice Dentistry
28Total paid$375K
24GClaims11,918
24DCodes billed21
24AFirst – last monthAug 2018 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Ohio
Rank by total paid#174 of 870
Median peer was paid$40K
This provider vs. median9.3×
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 | 2,730 | $99K | |
| 2019 | 5,050 | $167K | |
| 2020 | 1,178 | $36K | |
| 2021 | 1,424 | $36K | |
| 2022 | 1,451 | $35K | |
| 2024incomplete | 85 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7140 | Extraction, erupted tooth or exposed root | 25% | 1,828 | 669 | $95K |
| D0210 | Intraoral - complete series of radiographic images | 14% | 951 | 942 | $51K |
| D1110 | Prophylaxis - adult | 11% | 1,345 | 1,339 | $43K |
| D0150 | Comprehensive oral evaluation - new or established patient | 10% | 1,600 | 1,590 | $39K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 7.8% | 613 | 281 | $29K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.6% | 1,027 | 1,025 | $17K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.5% | 332 | 184 | $17K |
| D0274 | Bitewings - four radiographic images | 4.4% | 887 | 883 | $17K |
| D0140 | Limited oral evaluation - problem focused | 3.1% | 560 | 542 | $12K |
| D1208 | Topical application of fluoride, excluding varnish | 3.0% | 769 | 766 | $11K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.8% | 541 | 540 | $11K |
| D2335 | 2.2% | 98 | 45 | $8K |
9 more codes
| D1351 | Sealant - per tooth | 2.2% | 378 | $8K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.5% | 106 | $6K |
| D2332 | <1% | 68 | $3K | |
| D2394 | <1% | 36 | $2K | |
| D1206 | Topical application of fluoride varnish | <1% | 136 | $2K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 368 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 213 | $980.00 |
| D0272 | Bitewings - two radiographic images | <1% | 49 | $480.00 |
| D0250 | <1% | 13 | $174.98 |
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.