Dental
Simckes, Kenneth
Simckes, Kenneth was paid $1.12M by Medicaid between Jan 2018 and Jun 2021, across 14 billing codes. Its largest line is D1120, dental cleaning, child — 19% of everything it billed.
33Billing provider infoSIMCKES, KENNETH
MONSEY, NY 10952
MONSEY, NY 10952
33aNPI1891783031assigned 10/12/2005
33bProvider typePediatric Dentist
28Total paid$1.12M
24GClaims39,400
24DCodes billed14
24AFirst – last monthJan 2018 – Jun 2021
Compared with peers
Next to other Pediatric Dentist providers in New York
Rank by total paid#106 of 514
Median peer was paid$196K
This provider vs. median5.7×
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 | 12,014 | $356K | |
| 2019 | 12,180 | $344K | |
| 2020 | 10,807 | $300K | |
| 2021 | 4,399 | $116K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 19% | 5,225 | 5,225 | $214K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 18% | 7,194 | 7,194 | $198K |
| D1110 | Prophylaxis - adult | 9.7% | 1,972 | 1,972 | $109K |
| D0230 | Intraoral - periapical each additional radiographic image | 8.4% | 6,534 | 6,522 | $94K |
| D0220 | Intraoral - periapical first radiographic image | 8.2% | 6,841 | 6,809 | $91K |
| D1351 | Sealant - per tooth | 6.7% | 1,834 | 511 | $75K |
| D1206 | Topical application of fluoride varnish | 6.3% | 2,469 | 2,469 | $70K |
| D1208 | Topical application of fluoride, excluding varnish | 5.6% | 4,666 | 4,666 | $62K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 5.1% | 721 | 515 | $57K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 4.7% | 477 | 304 | $52K |
| D7140 | Extraction, erupted tooth or exposed root | 4.5% | 880 | 555 | $50K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 3.4% | 463 | 247 | $38K |
2 more codes
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.