Simmons, Kelvin

Simmons, Kelvin was paid $9K by Medicaid between Jun 2023 and Oct 2023, across 8 billing codes. Its largest line is D0120, dental checkup, returning patient — 25% of everything it billed.

33Billing provider infoSIMMONS, KELVIN
NEW BRAUNFELS, TX 78130

33aNPI1922432566assigned 08/30/2013

33bProvider typeGeneral Practice Dentistry

28Total paid$9K

24GClaims531

24DCodes billed8

24AFirst – last monthJun 2023 – Oct 2023

Compared with peers

Next to other General Practice Dentistry providers in Texas

Rank by total paid#1,925 of 2,774

Median peer was paid$43K

This provider vs. median0.2×

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
2023	531	$9K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	25%	80	79	$2K
D0274	Bitewings - four radiographic images	16%	44	43	$1K
D1351	Sealant - per tooth	15%	50	13	$1K
D1206	Topical application of fluoride varnish	12%	79	78	$1K
D0230	Intraoral - periapical each additional radiographic image	11%	87	73	$966.84
D1110	Prophylaxis - adult	10%	17	17	$932.96
D0220	Intraoral - periapical first radiographic image	10%	76	75	$916.88
D0603		0%	98	97	$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.