Samson, William

Samson, William was paid $18K by Medicaid between Oct 2018 and Jan 2019, across 9 billing codes. Its largest line is D1120, dental cleaning, child — 23% of everything it billed.

33Billing provider infoSAMSON, WILLIAM
BOZEMAN, MT 59718

33aNPI1093976383assigned 06/19/2008

33bProvider typeDentist

28Total paid$18K

24GClaims565

24DCodes billed9

24AFirst – last monthOct 2018 – Jan 2019

Compared with peers

Next to other Dentist providers in Montana

Rank by total paid#60 of 95

Median peer was paid$38K

This provider vs. median0.5×

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	474	$15K
2019	91	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	23%	104	102	$4K
D1208	Topical application of fluoride, excluding varnish	18%	160	153	$3K
D1110	Prophylaxis - adult	16%	56	51	$3K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	15%	94	90	$3K
D0274	Bitewings - four radiographic images	10%	53	48	$2K
D1351	Sealant - per tooth	9.6%	57	14	$2K
D0330	Panoramic radiographic image	3.9%	12	12	$694.00
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	2.4%	14	12	$431.50
D0272	Bitewings - two radiographic images	2.3%	15	15	$411.93

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.