Rajan, Simon

Rajan, Simon was paid $48K by Medicaid between Jun 2018 and Apr 2021, across 9 billing codes. Its largest line is D1120, dental cleaning, child — 50% of everything it billed.

33Billing provider infoRAJAN, SIMON
LOWELL, MA 01852

33aNPI1700073400assigned 09/27/2007

33bProvider typeDentist

28Total paid$48K

24GClaims1,438

24DCodes billed9

24AFirst – last monthJun 2018 – Apr 2021

Compared with peers

Next to other Dentist providers in Massachusetts

Rank by total paid#246 of 413

Median peer was paid$93K

This provider vs. median0.5×

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	245	$8K
2019	665	$23K
2020	317	$10K
2021	211	$7K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	50%	575	565	$24K
D1206	Topical application of fluoride varnish	12%	174	172	$6K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	11%	257	245	$5K
D1208	Topical application of fluoride, excluding varnish	9.6%	169	169	$5K
D1110	Prophylaxis - adult	8.1%	98	98	$4K
D0274	Bitewings - four radiographic images	5.4%	108	99	$3K
D2391	Resin-based composite - one surface, posterior, primary or permanent	2.1%	18	12	$990.00
D0272	Bitewings - two radiographic images	<1%	25	25	$450.00
D0150	Comprehensive oral evaluation - new or established patient	<1%	14	14	$420.00

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.