Physician

Benjamin Jon-Spoon Simonton, DDS

According to 2025 Medicare claims, Benjamin Simonton, DDS (NPI: 1306074232) practices oral surgery (dentists only) in the Toledo, OH market, with the plurality of this provider's patient population coming from Lucas, OH. This provider's primary affiliated billing organization is ORAL & MAXILLOFACIAL SURGEONS INC (NPI: 1326030503; TIN: 341141179) and primary practice location at 43623-1234.

Simonton's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 32 traditional Medicare patients, billed 55 HCPCS/CPT codes, and received $6,047 in Medicare payments. The top billing code was 99202 (New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more). Part D data shows 806 prescription claims across 303 beneficiaries totaling $3,673 in drug costs, led by Dexamethasone (Dexamethasone). Open Payments data shows 9 records totaling $163. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has moved up and down with repeated peaks and valleys, starting at $4,994 and ending at $6,047. Concurrently, Part D prescription costs have risen steadily, from $2,151 to $3,673. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$4.3K$8.6K2016 Medicare payment: $4,994 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $6,951 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $4,777 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $7,042 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $7,350 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $8,606 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $7,239 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $6,810 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $6,047 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
20163854$4,994
20173654$6,951
20183650$4,777
20193754$7,042
20203650$7,350
20215074$8,606
20224472$7,239
20233550$6,810
20243255$6,047

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$2.2K$4.4K2015 Drug cost: $2,151 (USD; Tot_Drug_Cst)2016 Drug cost: $2,641 (USD; Tot_Drug_Cst)2017 Drug cost: $2,815 (USD; Tot_Drug_Cst)2018 Drug cost: $2,327 (USD; Tot_Drug_Cst)2019 Drug cost: $2,932 (USD; Tot_Drug_Cst)2020 Drug cost: $2,715 (USD; Tot_Drug_Cst)2021 Drug cost: $3,772 (USD; Tot_Drug_Cst)2022 Drug cost: $3,127 (USD; Tot_Drug_Cst)2023 Drug cost: $4,434 (USD; Tot_Drug_Cst)2024 Drug cost: $3,673 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015151303$2,151
2016233494$2,641
2017187441$2,815
2018188395$2,327
2019214540$2,932
2020183446$2,715
2021251588$3,772
2022281655$3,127
2023288707$4,434
2024303806$3,673

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

No connected DME records

No connected DME records

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
99202New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more1616$50

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
DexamethasoneDexamethasone43208$565
AmoxicillinAmoxicillin2011,398$546
Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav34440$477
Chlorhexidine GluconateChlorhexidine Gluconate1111,735$381
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen110229$221

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.9$163Straumann USA LLC
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Benjamin Jon-Spoon Simonton, DDS?

Tedicare shows public-source Medicare data for Benjamin Jon-Spoon Simonton, DDS (NPI 1306074232), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Benjamin Jon-Spoon Simonton, DDS have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Benjamin Jon-Spoon Simonton, DDS?

Benjamin Jon-Spoon Simonton, DDS is linked to ORAL & MAXILLOFACIAL SURGEONS INC (billing NPI 1326030503) in the available physician profile data.

Does Benjamin Jon-Spoon Simonton, DDS have Open Payments data?

Benjamin Jon-Spoon Simonton, DDS has 9 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.