Ngo, Sam
Ngo, Sam was paid $12K by Medicaid between Dec 2019 and Aug 2020, across 11 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 24% of everything it billed.
33Billing provider infoNGO, SAM
LANCASTER, CA 93534
LANCASTER, CA 93534
33aNPI1073002184assigned 05/03/2018
33bProvider typeStudent in an Organized Health Care Education/Training Program
28Total paid$12K
24GClaims819
24DCodes billed11
24AFirst – last monthDec 2019 – Aug 2020
Compared with peers
Next to other Student in an Organized Health Care Education/Training Program providers in California
Rank by total paid#118 of 315
Median peer was paid$3K
This provider vs. median4.2×
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 | |
|---|---|---|---|
| 2019 | 86 | $1K | |
| 2020 | 733 | $11K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 24% | 73 | 54 | $3K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 23% | 139 | 139 | $3K |
| D0140 | Limited oral evaluation - problem focused | 15% | 88 | 88 | $2K |
| D1110 | Prophylaxis - adult | 10% | 62 | 62 | $1K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.1% | 54 | 54 | $1K |
| D0274 | Bitewings - four radiographic images | 4.9% | 65 | 65 | $585.00 |
| D0220 | Intraoral - periapical first radiographic image | 4.9% | 145 | 145 | $580.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 3.7% | 76 | 76 | $438.00 |
| D1208 | Topical application of fluoride, excluding varnish | 2.5% | 50 | 50 | $300.00 |
| D0272 | Bitewings - two radiographic images | 1.6% | 39 | 39 | $195.00 |
| D0270 | <1% | 28 | 28 | $84.00 |
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.