Dental
Sams, Alvin
Sams, Alvin was paid $1.24M by Medicaid between Jan 2018 and Jul 2020, across 20 billing codes. Its largest line is D1120, dental cleaning, child — 13% of everything it billed.
33Billing provider infoSAMS, ALVIN
FLORISSANT, MO 63034
FLORISSANT, MO 63034
33aNPI1033294970assigned 10/26/2006
33bProvider typePediatric Dentist
28Total paid$1.24M
24GClaims31,656
24DCodes billed20
24AFirst – last monthJan 2018 – Jul 2020
Compared with peers
Next to other Pediatric Dentist providers in Missouri
Rank by total paid#4 of 39
Median peer was paid$73K
This provider vs. median17×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 12,985 | $534K | |
| 2019 | 13,252 | $538K | |
| 2020 | 5,419 | $168K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 4,220 | 4,194 | $161K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 12% | 1,386 | 598 | $153K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 11% | 1,658 | 769 | $138K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.8% | 3,695 | 3,674 | $121K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 7.7% | 595 | 245 | $95K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 6.9% | 507 | 496 | $86K |
| D0272 | Bitewings - two radiographic images | 6.7% | 3,800 | 3,772 | $83K |
| D7140 | Extraction, erupted tooth or exposed root | 6.5% | 1,106 | 651 | $80K |
| D1208 | Topical application of fluoride, excluding varnish | 5.7% | 3,257 | 3,231 | $71K |
| D0220 | Intraoral - periapical first radiographic image | 4.8% | 3,981 | 3,937 | $60K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.0% | 3,789 | 3,742 | $49K |
| D1206 | Topical application of fluoride varnish | 2.9% | 1,040 | 1,040 | $36K |
8 more codes
| D0150 | Comprehensive oral evaluation - new or established patient | 2.9% | 834 | $36K |
| D0140 | Limited oral evaluation - problem focused | 2.2% | 705 | $27K |
| D1351 | Sealant - per tooth | 1.4% | 836 | $17K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 94 | $9K |
| D2330 | <1% | 90 | $7K | |
| D9420 | <1% | 13 | $5K | |
| D7999 | <1% | 12 | $5K | |
| D0330 | Panoramic radiographic image | <1% | 38 | $2K |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.