Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SAMSON, WILLIAM

NPI: 1093976383 · BOZEMAN, MT 59718 · Dentist · NPI assigned 06/19/2008

$18K
Total Medicaid Paid
565
Total Claims
497
Beneficiaries
9
Codes Billed
2018-10
First Month
2019-01
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 474 $15K
2019 91 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 104 102 $4K
D1208 Topical application of fluoride, excluding varnish 160 153 $3K
D1110 Prophylaxis - adult 56 51 $3K
D0120 Periodic oral evaluation - established patient 94 90 $3K
D0274 Bitewings - four radiographic images 53 48 $2K
D1351 Sealant - per tooth 57 14 $2K
D0330 Panoramic radiographic image 12 12 $694.00
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 14 12 $431.50
D0272 Bitewings - two radiographic images 15 15 $411.93