Clinic
Simon Wong Dental Group INC.
Simon Wong Dental Group INC. was paid $18K by Medicaid between May 2024 and Dec 2024, across 3 billing codes. Its largest line is D9430, — 50% of everything it billed.
33Billing provider infoSIMON WONG DENTAL GROUP INC.
MONTEREY PARK, CA 91755
MONTEREY PARK, CA 91755
33aNPI1689296105assigned 05/07/2020
33bProvider typeDental Clinic/Center
28Total paid$18K
24GClaims438
24DCodes billed3
24AFirst – last monthMay 2024 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#905 of 1,135
Median peer was paid$200K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2024incomplete | 438 | $18K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D9430 | 50% | 289 | 198 | $9K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 39% | 109 | 109 | $7K |
| D0210 | Intraoral - complete series of radiographic images | 10% | 40 | 40 | $2K |
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 officialWONG, SIMON (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Simonwongddsinc | Glendale, CA | $313K |
| Mighty Smiles LLC | Brooklyn, NY | $43K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.