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DR. SVETLANA SIMONOVICH DDS
NPI 1912262841
Dentist - General Practice in Dallas, TX

Active since July 06, 2012Opted out of Medicare · through May 11, 2028
14207 COIT RD, SUITE 12, DALLAS, TX 75254(972) 490-1600(972) 490-1620 Get Directions Write a Review

NPPES record last updated: July 6, 2012. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Svetlana Simonovich Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SVETLANA SIMONOVICH DDS (NPI 1912262841) is an individual general practice provider in Dallas, Texas, licensed in Texas (27953) and active in the NPI registry since July 2012. She has opted out of Medicare through May 11, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1912262841
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. SVETLANA SIMONOVICHCredential: DDS
Location Address14207 COIT RD, SUITE 12Dallas, TX 75254-2700
Mailing Address1813 Mcclary StGarland, TX 75040-4399
Phone(972) 490-1600
Fax(972) 490-1620
Sole ProprietorNo
Enumeration DateJuly 6, 2012
✔ NPI 1912262841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in TX · 27953
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
14207 COIT RD, Dallas, TX 75254
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Svetlana Simonovich Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 11, 2016 through May 11, 2028.

Opt-Out Effective DateMay 11, 2016
Opt-Out In Effect ThroughMay 11, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75254 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$71.28 typical visit price
range $18.48 – $141.20
Typical copayment $17.82 (range $4.62 – $35.30)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. HELENA H CHO DMD
Dentist
14207 COIT RD
DALLAS, TX 75254
Dallas County (972) 490-1600
LUCINA COSIO
Dentist
14207 COIT RD
DALLAS, TX 75254
Dallas County (972) 490-1600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Svetlana Simonovich's NPI number?

The NPI number for Svetlana Simonovich is 1912262841. It was assigned to this individual provider in the NPPES registry on July 6, 2012.

Where is Svetlana Simonovich located?

Svetlana Simonovich practices at 14207 Coit Rd Suite 12, Dallas, TX 75254. The listed phone number is (972) 490-1600.

What is Svetlana Simonovich's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Svetlana Simonovich enrolled in Medicare?

No. Svetlana Simonovich has opted out of Medicare through May 11, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Svetlana Simonovich accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 10 other insurers list Svetlana Simonovich as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Svetlana Simonovich was last updated on July 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.