Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MA › WORCESTER › SIMPLY DENTAL OF WORCESTER SOUTH PLLC

SIMPLY DENTAL OF WORCESTER SOUTH PLLC

NPI: 1760049761 · WORCESTER, MA 01604 · General Practice Dentistry · NPI assigned 05/24/2019

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official ALKHOURY, HOUSSAM controls 20+ related entities in our dataset. Read more

$1.29M
Total Medicaid Paid
14,666
Total Claims
10,848
Beneficiaries
20
Codes Billed
2019-11
First Month
2024-12
Last Month

Provider Details

Authorized OfficialALKHOURY, HOUSSAM (OWNER)
NPI Enumeration Date05/24/2019

Related Entities

Other providers sharing the same authorized official: ALKHOURY, HOUSSAM

ProviderCityStateTotal Paid
WORCESTER ORTHODONTICS, PC WORCESTER MA $8.86M
LAWRENCE BRACES, P.C. LAWRENCE MA $7.77M
METROPOLITAN ORTHODONTICS, PC NATICK MA $5.42M
SIMPLY PEDIATRICS AND ORTHODONTICS OF PELHAM PLLC PELHAM NH $2.50M
SIMPLY ORTHODONTICS AND PEDIATRICS FITCHBURG PLLC FITCHBURG MA $1.46M
MILFORD BRACES PC MILFORD MA $898K
SIMPLY ORTHODONTICS FRAMINGHAM PLLC FRAMINGHAM MA $809K
ORTHODONTIC ASSOCIATES OF NORTON, LLC NORTON MA $767K
SIMPLY PEDIATRIC DENTISTRY AND ORTHODONTICS NASHUA PLLC NASHUA NH $570K
SIMPLY ORTHODONTICS, NH, PC DERRY NH $400K
SIMPLY ORTHODONTICS PC DAYVILLE CT $391K
MILFORD BRACES PC HOLLISTON MA $318K
SUPER DENTAL OF FITCHBURG PLLC FITCHBURG MA $295K
SIMPLY ORTHODONTICS & PEDIATRICS OF RANDOLPH PLLC RANDOLPH MA $116K
SOUTHBRIDGE BRACES PC SOUTHBRIDGE MA $104K
SIMPLY ORTHODONTICS GRAFTON PLLC NORTH GRAFTON MA $91K
SIMPLY ORTHODONTICS OF LUDLOW PLLC LUDLOW MA $84K
SIMPLY ORTHODONTICS AND PEDIATRICS WORCESTER, PLLC WORCESTER MA $68K
SIMPLY ORTHODONTICS, NH, PC HUDSON NH $48K
SIMPLY DENTAL OF LOWELL PLLC LOWELL MA $47K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 134 $4K
2020 1,299 $31K
2021 3,561 $308K
2022 2,282 $201K
2023 2,616 $171K
2024 4,774 $571K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D7240 Removal of impacted tooth - completely bony 1,786 514 $569K
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 1,566 706 $142K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 739 164 $103K
D9222 763 705 $70K
D1110 Prophylaxis - adult 1,064 1,013 $68K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 467 176 $51K
D1120 Prophylaxis - child 1,081 1,030 $51K
D0140 Limited oral evaluation - problem focused 1,096 1,011 $43K
D0120 Periodic oral evaluation - established patient 1,560 1,488 $42K
D1206 Topical application of fluoride varnish 1,558 1,486 $39K
D7230 140 67 $32K
D0274 Bitewings - four radiographic images 635 603 $26K
D0150 Comprehensive oral evaluation - new or established patient 304 283 $17K
D0330 Panoramic radiographic image 231 221 $17K
D1208 Topical application of fluoride, excluding varnish 457 430 $12K
D1351 Sealant - per tooth 71 14 $3K
D2150 Silver amalgam - two surfaces, primary or permanent 26 12 $2K
D0272 Bitewings - two radiographic images 15 14 $448.00
D0220 Intraoral - periapical first radiographic image 16 12 $252.00
D1999 1,091 899 $0.00