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SIMONCIC DDS PLLC

Clinic/Center, Oral and Maxillofacial Surgery·HIGH POINT, NC·NPI: 1699116111Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$31.8M

$31,843,434

Total Claims

353K

Beneficiaries

199K

1.8 claims/patient

Avg Cost/Claim

$90

Monthly Spending Trend

Yearly Spending

2018
$4.0M
+10%
2019
$4.4M
-6%
2020
$4.2M
+15%
2021
$4.8M
-6%
2022
$4.5M
+10%
2023
$5.0M
-1%
2024
$4.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 28 distinct procedure codes. The top code (D7210 (Extraction, erupted tooth, surgical approach)) accounts for 30% of total spending.

D7210Normal range

Extraction, erupted tooth, surgical approach

$9.4M

92K claims · 29.5%

Your Cost: $101.93/claim|Median: $109.42
0.9× median
D7240Normal range

Extraction, impacted tooth, complete bony

$8.6M

46K claims · 26.9%

Your Cost: $184.94/claim|Median: $231.00
0.8× median
D9222Normal range

Deep sedation/general anesthesia, first 15 minutes

$2.0M

30K claims · 6.3%

Your Cost: $66.11/claim|Median: $90.28
0.7× median
D9223Normal range

Deep sedation/general anesthesia, each additional 15 min

$1.8M

27K claims · 5.7%

Your Cost: $67.35/claim|Median: $107.14
0.6× median
D7230Normal range

Extraction, impacted tooth, partial bony

$1.5M

9,632 claims · 4.8%

Your Cost: $159.87/claim|Median: $187.09
0.9× median
D7241Normal range

$1.5M

6,886 claims · 4.8%

Your Cost: $220.27/claim|Median: $242.62
0.9× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$1.3M

33K claims · 4.2%

Your Cost: $40.48/claim|Median: $32.07
1.3× median
D7250Normal range

$1.1M

9,872 claims · 3.4%

Your Cost: $108.96/claim|Median: $112.26
1.0× median
D7310Normal range

$952K

10K claims · 3.0%

Your Cost: $92.62/claim|Median: $100.96
0.9× median
D9610Normal range

$948K

28K claims · 3.0%

Your Cost: $33.51/claim|Median: $28.44
1.2× median
D7280Normal range

$945K

5,182 claims · 3.0%

Your Cost: $182.35/claim|Median: $175.60
1.0× median
D0330Normal range

Panoramic radiographic image

$528K

37K claims · 1.7%

Your Cost: $14.46/claim|Median: $37.36
0.4× median
D7311Normal range

$360K

4,154 claims · 1.1%

Your Cost: $86.60/claim|Median: $91.31
0.9× median
D7140Normal range

Extraction, erupted tooth or exposed root

$205K

3,323 claims · 0.6%

Your Cost: $61.67/claim|Median: $57.39
1.1× median
D0140Normal range

Limited oral evaluation, problem focused

$154K

4,434 claims · 0.5%

Your Cost: $34.69/claim|Median: $27.07
1.3× median
D7283Normal range

$140K

691 claims · 0.4%

Your Cost: $203.16/claim|Median: $174.14
1.2× median
D7550Normal range

$98K

393 claims · 0.3%

Your Cost: $248.39/claim|Median: $248.39
1.0× median
D9230Top 25%

Inhalation of nitrous oxide/analgesia, anxiolysis

$75K

1,825 claims · 0.2%

Your Cost: $40.88/claim|Median: $26.24
1.6× median
D7473Top 25%

$50K

266 claims · 0.2%

Your Cost: $188.07/claim|Median: $148.70
1.3× median
D9612Top 25%

$42K

772 claims · 0.1%

Your Cost: $54.70/claim|Median: $35.08
1.6× median
D7485Normal range

$41K

320 claims · 0.1%

Your Cost: $128.62/claim|Median: $138.73
0.9× median
D7971Normal range

$27K

174 claims · 0.1%

Your Cost: $155.40/claim|Median: $112.06
1.4× median
D9110Normal range

$24K

684 claims · 0.1%

Your Cost: $34.75/claim|Median: $38.08
0.9× median
D7471Normal range

$5K

59 claims · 0.0%

Your Cost: $85.99/claim|Median: $171.12
0.5× median
D0160Top 25%

$5K

76 claims · 0.0%

Your Cost: $65.32/claim|Median: $34.71
1.9× median
D0220Top 25%

Intraoral periapical radiographic image, first film

$3K

211 claims · 0.0%

Your Cost: $13.38/claim|Median: $10.51
1.3× median
D0230Top 25%

Intraoral, periapical radiographic image, first film

$1K

107 claims · 0.0%

Your Cost: $10.56/claim|Median: $7.33
1.4× median
D0367Normal range

$0

131 claims · 0.0%

Your Cost: $0.00/claim|Median: $189.94

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