Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Simoncic DDS PLLC

Simoncic DDS PLLC was paid $31.84M by Medicaid between Jan 2018 and Dec 2024, across 28 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 30% of everything it billed.

33Billing provider infoSIMONCIC DDS PLLC
HIGH POINT, NC 27265
33aNPI1699116111assigned 07/12/2013
28Total paid$31.84M
24GClaims353,007
24DCodes billed28
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Oral and Maxillofacial Surgery (Dentist) providers in North Carolina

Rank by total paid#1 of 67
Median peer was paid$407K
This provider vs. median78×

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

$0$200K$400K$600K2018201920202021202220232024
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
YearClaimsPaid
201846,775$4.04M
201949,686$4.44M
202044,839$4.16M
202148,244$4.81M
202249,407$4.50M
202354,582$4.97M
2024incomplete59,474$4.94M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 30% 92,173 19,176 $9.40M
D7240 Removal of impacted tooth - completely bony 27% 46,260 14,062 $8.56M
D9222 6.3% 30,373 27,827 $2.01M
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 5.7% 26,994 19,816 $1.82M
D7230 4.8% 9,632 4,915 $1.54M
D7241 4.8% 6,886 3,140 $1.52M
D0150 Comprehensive oral evaluation - new or established patient 4.2% 32,919 30,883 $1.33M
D7250 3.4% 9,872 2,263 $1.08M
D7310 3.0% 10,277 3,386 $952K
D9610 3.0% 28,292 26,126 $948K
D7280 3.0% 5,182 1,760 $945K
D0330 Panoramic radiographic image 1.7% 36,527 33,338 $528K
16 more codes
D7311 1.1% 4,154 $360K
D7140 Extraction, erupted tooth or exposed root <1% 3,323 $205K
D0140 Limited oral evaluation - problem focused <1% 4,434 $154K
D7283 <1% 691 $140K
D7550 <1% 393 $98K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis <1% 1,825 $75K
D7473 <1% 266 $50K
D9612 <1% 772 $42K
D7485 <1% 320 $41K
D7971 <1% 174 $27K
D9110 <1% 684 $24K
D7471 <1% 59 $5K
D0160 <1% 76 $5K
D0220 Intraoral - periapical first radiographic image <1% 211 $3K
D0230 Intraoral - periapical each additional radiographic image <1% 107 $1K
D0367 0% 131 $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.

From NPPES

Who's on the registration

Authorized officialENGLISH, HARRIET (OFFICE MANAGER)