Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or North Carolina for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to North Carolina only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. North Carolina (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Simoncic Dds PLLC (NPI 1699116111)

Field	Value
Entity Type	Organization
Organization	Simoncic Dds PLLC
Address	2017 Eastchester Dr
City	High Point
State	NC
ZIP	27265
Taxonomy	Oral and Maxillofacial Surgery Clinic/Center
NPI Enumerated	July 12, 2013

Payer Source	Total Paid
Medicaid	$31.8M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

28 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…	92,170	$100	$9.4M
D7240	N/A	46,260	$190	$8.6M
D9222	N/A	30,370	$70	$2M
D9223	N/A	26,990	$70	$1.8M
D7230	N/A	9,630	$160	$1.5M
D7241	N/A	6,890	$220	$1.5M
D0150	Comprehensive oral evaluation – new or established patient	32,920	$40	$1.3M
D7250	N/A	9,870	$110	$1.1M
D9610	N/A	28,290	$30	$961.9K
D7310	N/A	10,280	$90	$955.8K

Showing 1–10 of 28

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other North Carolina providers billing the same CPT/HCPCS codes.

Claims Volume vs. North Carolina Distribution

Simoncic Dds PLLC — 17 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

Full comparison — all codes billed, vs. North Carolina median

28 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D7240	N/A	1	100	600	$190	$454.1K
D9223	N/A	1	100	1,240	$140	$396K
D7230	N/A	2	60	500	$160	$204.5K
D7241	N/A	1	10	280	$210	$193.4K
D9222	N/A	1	90	750	$80	$187.1K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…	1	330	330	$100	$165.8K
D9230	N/A	161	460	800	$40	$127.7K
D7280	N/A	1	10	50	$180	$123.1K
D7971	N/A	2	10	800	$150	$117.4K
D9612	N/A	40	80	770	$60	$104.3K

Showing 1–10 of 28

Nearby Providers

Other providers in the same ZIP code as Simoncic Dds PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Continuum Care Services, Inc.	NC	Community/Behavioral Health Agency	$0	$30.5M
Advanced Home Care, Inc.	NC	Oxygen Equipment & Supplies (DME)	$0	$9M
Triad Pediatrics, PC	NC	Pediatrics Physician	$0	$8M
Horizon Internal Medicine PLLC	NC	Internal Medicine Physician	$0	$7.6M
Premier Home Health Care Services, Inc.	NC	Home Health Agency	$0	$7.3M
Imran Haque	NC	Internal Medicine Physician	$2.7M	$0
Premier Surgery Center, LLC	NC	Ambulatory Surgical Clinic/Center	$205.8K	$42.6K
Moogali Arvind	NC	Internal Medicine Physician	$218.9K	$0
Karla Smith	NC	Family Medicine Physician	$114K	$0
Lisa Wooding	NC	Occupational Therapist	$56.8K	$0

Simoncic Dds PLLC — Billing Profile & Reimbursement Data

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Simoncic Dds PLLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References