Simply Dental of Worcester South PLLC
Simply Dental of Worcester South PLLC was paid $1.29M by Medicaid between Nov 2019 and Dec 2024, across 20 billing codes. Its largest line is D7240, Removal of impacted tooth - completely bony — 44% of everything it billed.
WORCESTER, MA 01604
Next to other General Practice Dentistry providers in Massachusetts
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 134 | $4K | |
| 2020 | 1,299 | $31K | |
| 2021 | 3,561 | $308K | |
| 2022 | 2,282 | $201K | |
| 2023 | 2,616 | $171K | |
| 2024incomplete | 4,774 | $571K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7240 | Removal of impacted tooth - completely bony | 44% | 1,786 | 514 | $569K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 11% | 1,566 | 706 | $142K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 8.0% | 739 | 164 | $103K |
| D9222 | 5.4% | 763 | 705 | $70K | |
| D1110 | Prophylaxis - adult | 5.3% | 1,064 | 1,013 | $68K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.0% | 467 | 176 | $51K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.0% | 1,081 | 1,030 | $51K |
| D0140 | Limited oral evaluation - problem focused | 3.3% | 1,096 | 1,011 | $43K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.3% | 1,560 | 1,488 | $42K |
| D1206 | Topical application of fluoride varnish | 3.0% | 1,558 | 1,486 | $39K |
| D7230 | 2.5% | 140 | 67 | $32K | |
| D0274 | Bitewings - four radiographic images | 2.0% | 635 | 603 | $26K |
8 more codes
| D0150 | Comprehensive oral evaluation - new or established patient | 1.3% | 304 | $17K |
| D0330 | Panoramic radiographic image | 1.3% | 231 | $17K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 457 | $12K |
| D1351 | Sealant - per tooth | <1% | 71 | $3K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 26 | $2K |
| D0272 | Bitewings - two radiographic images | <1% | 15 | $448.00 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 16 | $252.00 |
| D1999 | 0% | 1,091 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.