Dental
Samandarov, Michael
Samandarov, Michael was paid $102K by Medicaid between Jan 2022 and Dec 2024, across 11 billing codes. Its largest line is D1110, Prophylaxis - adult — 39% of everything it billed.
33Billing provider infoSAMANDAROV, MICHAEL
JACKSON HEIGHTS, NY 11372
JACKSON HEIGHTS, NY 11372
33aNPI1114418977assigned 05/28/2018
33bProvider typeDentist
28Total paid$102K
24GClaims4,752
24DCodes billed11
24AFirst – last monthJan 2022 – Dec 2024
Compared with peers
Next to other Dentist providers in New York
Rank by total paid#629 of 1,649
Median peer was paid$49K
This provider vs. median2.1×
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 | |
|---|---|---|---|
| 2022 | 401 | $8K | |
| 2023 | 1,356 | $30K | |
| 2024incomplete | 2,995 | $64K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 39% | 1,104 | 1,104 | $40K |
| D0330 | Panoramic radiographic image | 13% | 513 | 513 | $14K |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 522 | 522 | $11K |
| D0230 | Intraoral - periapical each additional radiographic image | 10% | 671 | 669 | $10K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.8% | 495 | 495 | $10K |
| D0220 | Intraoral - periapical first radiographic image | 6.9% | 819 | 814 | $7K |
| D0210 | Intraoral - complete series of radiographic images | 3.6% | 344 | 343 | $4K |
| D0274 | Bitewings - four radiographic images | 3.4% | 184 | 184 | $3K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.6% | 31 | 17 | $2K |
| D0140 | Limited oral evaluation - problem focused | <1% | 56 | 56 | $570.57 |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 13 | 13 | $144.10 |
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.