Dental
Paul, Simi
Paul, Simi was paid $48K by Medicaid between Dec 2020 and Apr 2024, across 9 billing codes. Its largest line is D0145, Oral evaluation for a patient under three years of age — 30% of everything it billed.
33Billing provider infoPAUL, SIMI
IRVING, TX 75038
IRVING, TX 75038
33aNPI1639393127assigned 04/13/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$48K
24GClaims2,077
24DCodes billed9
24AFirst – last monthDec 2020 – Apr 2024
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#1,347 of 2,774
Median peer was paid$43K
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 | |
|---|---|---|---|
| 2020 | 27 | $2K | |
| 2021 | 1,018 | $28K | |
| 2022 | 645 | $11K | |
| 2023 | 347 | $6K | |
| 2024incomplete | 40 | $609.70 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0145 | Oral evaluation for a patient under three years of age | 30% | 109 | 105 | $14K |
| D1120 | Dental cleaning, childProphylaxis - child | 23% | 317 | 310 | $11K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 23% | 389 | 381 | $11K |
| D1208 | Topical application of fluoride, excluding varnish | 12% | 405 | 395 | $6K |
| D1351 | Sealant - per tooth | 8.3% | 145 | 24 | $4K |
| D0272 | Bitewings - two radiographic images | 3.9% | 88 | 86 | $2K |
| D1206 | Topical application of fluoride varnish | <1% | 12 | 12 | $176.40 |
| D0601 | 0% | 110 | 108 | $0.00 | |
| D0603 | 0% | 502 | 477 | $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.