Hindupur, Samantha

Hindupur, Samantha was paid $5K by Medicaid between Feb 2018 and Jun 2020, across 9 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 22% of everything it billed.

33Billing provider infoHINDUPUR, SAMANTHA
SAVANNAH, MO 64485

33aNPI1043520224assigned 10/20/2010

33bProvider typeDentist

28Total paid$5K

24GClaims317

24DCodes billed9

24AFirst – last monthFeb 2018 – Jun 2020

Compared with peers

Next to other Dentist providers in Missouri

Rank by total paid#234 of 284

Median peer was paid$109K

This provider vs. median0.0×

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	167	$1K
2020	150	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1206	Topical application of fluoride varnish	22%	48	48	$1K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	21%	46	46	$1K
D0220	Intraoral - periapical first radiographic image	18%	39	38	$909.00
D0150	Comprehensive oral evaluation - new or established patient	15%	25	25	$773.89
D1110	Prophylaxis - adult	12%	32	32	$588.25
D1120	Dental cleaning, childProphylaxis - child	7.8%	17	17	$395.00
D0274	Bitewings - four radiographic images	3.0%	17	17	$149.57
D0230	Intraoral - periapical each additional radiographic image	1.1%	18	18	$53.96
D1330		0%	75	75	$0.00

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.