When the other lone dentist in Congress, Representative Paul Gosar, R-Ariz., first won his seat in 2010, nearly 600 dentists contributed a total of $265,000 to his campaign. Dentists accounted for more than 40 percent of Gosar's total haul and more than half his donors.
"People actually in my first primary said, 'You get a lot of your money from dentists,' " Gosar said. "And I said, 'I'm not running from it. I'm proud to be a dentist.' "
Then, when Gosar faced a Tea Party challenger in 2012 backed by the Club for Growth, the independent-expenditure arm of the dental lobby sprung into action, pouring $150,000 into his race. Dentists nationwide injected another $210,000 directly into his coffers. All told, dentists from 47 states and the District of Columbia have invested in Gosar in the past four years.
"I'm one of the dentists' dentists. I came up being involved in grassroots dentistry," said Gosar, who also served on the ADA's government-affairs council. "Mike might have a little harder time with [raising dental money] because he just didn't do all the steps that I did."
Still, Simpson is a valued ally for the dental association, whose political action committee has spent an average of $2.5 million in each of the past three election cycles, according to the Center for Responsive Politics. Simpson is a senior lawmaker, a member of the speaker's kitchen cabinet, and the chairman of an Appropriations subcommittee—a post powerful enough to be nicknamed a "cardinal" on Capitol Hill.
"It makes a difference, sure, to have an appropriator who is a dentist," Graham said. The group's independent arm spent $55,000 on pro-Simpson mailers in his 2012 primary, even as Simpson won by nearly 40 percentage points.
In 2012, The Wall Street Journal reported that Simpson helped stall funding for a piece of the new healthcare law the dental lobby opposed. In 2013, the American Dental Association listed two "action alerts" on its website, urging its members to write in support of legislation. Both bills were authored by Gosar, and Simpson was among the earliest cosponsors of both.
Simpson, who joined his father's dental practice in Blackfoot, Idaho, and continued practicing even while serving in the Statehouse, hasn't tapped the nation's network of dentists for financial support yet for 2014. He reported zero donations from dentists in the first three quarters of 2013. But that is expected to change.
"We are aggressively reaching out to a lot of friends and allies to raise the resources we need to communicate Mike's conservative record of delivering results for the people of Idaho," said Todd Cranney, a senior Simpson adviser. "Obviously, Mike being a dentist, he's going to have a group of folks there who are going to be very supportive."
The GOP primary in Idaho's 2nd Congressional District, which stretches from Boise to the Wyoming border, has become something of a proxy battle in the ongoing civil war between the Republican establishment (backing Simpson) and the Tea Party wing of the GOP (backing Smith). The U.S. Chamber of Commerce paid $150,000 for a flight of television and Web ads in December bolstering Simpson.