Dental
Simoncic, Stefan
Simoncic, Stefan was paid $165K by Medicaid between Jun 2018 and Oct 2023, across 13 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 37% of everything it billed.
33Billing provider infoSIMONCIC, STEFAN
HIGH POINT, NC 27265
HIGH POINT, NC 27265
33aNPI1780780767assigned 09/16/2006
33bProvider typeOral and Maxillofacial Surgery (Dentist)
28Total paid$165K
24GClaims3,396
24DCodes billed13
24AFirst – last monthJun 2018 – Oct 2023
Compared with peers
Next to other Oral and Maxillofacial Surgery (Dentist) providers in North Carolina
Rank by total paid#42 of 67
Median peer was paid$407K
This provider vs. median0.4×
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 | 26 | $0.00 | |
| 2019 | 1,599 | $0.00 | |
| 2021 | 157 | $16K | |
| 2022 | 267 | $19K | |
| 2023 | 1,347 | $130K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 37% | 1,025 | 189 | $61K |
| D7240 | Removal of impacted tooth - completely bony | 34% | 463 | 131 | $55K |
| D9222 | 8.0% | 338 | 296 | $13K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.5% | 356 | 313 | $9K |
| D7230 | 4.3% | 79 | 33 | $7K | |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 4.0% | 242 | 176 | $7K |
| D9610 | 3.5% | 286 | 249 | $6K | |
| D7310 | 2.3% | 80 | 29 | $4K | |
| D0330 | Panoramic radiographic image | 1.6% | 394 | 349 | $3K |
| D0140 | Limited oral evaluation - problem focused | 0% | 38 | 32 | $0.00 |
| D7311 | 0% | 44 | 18 | $0.00 | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 0% | 16 | 14 | $0.00 |
1 more codes
| D7241 | 0% | 35 | $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.