Dental
Simonwongddsinc
Simonwongddsinc was paid $313K by Medicaid between Mar 2018 and Oct 2024, across 11 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 30% of everything it billed.
33Billing provider infoSIMONWONGDDSINC
GLENDALE, CA 91202
GLENDALE, CA 91202
33aNPI1689912131assigned 01/17/2013
33bProvider typeDentist
28Total paid$313K
24GClaims7,290
24DCodes billed11
24AFirst – last monthMar 2018 – Oct 2024
Compared with peers
Next to other Dentist providers in California
Rank by total paid#960 of 2,314
Median peer was paid$185K
This provider vs. median1.7×
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 | 387 | $19K | |
| 2019 | 1,467 | $67K | |
| 2020 | 859 | $44K | |
| 2021 | 899 | $40K | |
| 2022 | 1,211 | $49K | |
| 2023 | 1,796 | $64K | |
| 2024incomplete | 671 | $30K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 30% | 1,470 | 1,464 | $94K |
| D9430 | 23% | 2,324 | 1,859 | $74K | |
| D0210 | Intraoral - complete series of radiographic images | 17% | 1,119 | 1,113 | $53K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 14% | 366 | 134 | $43K |
| D1110 | Prophylaxis - adult | 9.3% | 327 | 327 | $29K |
| D0220 | Intraoral - periapical first radiographic image | 2.1% | 559 | 508 | $7K |
| D1206 | Topical application of fluoride varnish | 1.8% | 348 | 348 | $6K |
| D0350 | <1% | 292 | 153 | $3K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 36 | 36 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 384 | 203 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 65 | 65 | $876.00 |
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.
From NPPES
Who's on the registration
Authorized officialWONG, SIMON (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Mighty Smiles LLC | Brooklyn, NY | $43K |
| Simon Wong Dental Group INC. | Monterey Park, CA | $18K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.