Peery, Samuel

Peery, Samuel was paid $3K by Medicaid between Jun 2020 and Jul 2021, across 1 billing code. Its largest line is D0120, dental checkup, returning patient — 100% of everything it billed.

33Billing provider infoPEERY, SAMUEL
LOGAN, UT 84321

33aNPI1104029560assigned 06/06/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$3K

24GClaims47

24DCodes billed1

24AFirst – last monthJun 2020 – Jul 2021

Compared with peers

Next to other General Practice Dentistry providers in Utah

Rank by total paid#161 of 225

Median peer was paid$21K

This provider vs. median0.2×

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
2020	33	$2K
2021	14	$961.70

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	100%	47	45	$3K

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.