Olson, Samuel
Olson, Samuel was paid $15K by Medicaid between Feb 2023 and Apr 2023, across 7 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 34% of everything it billed.
33Billing provider infoOLSON, SAMUEL
WESTMINSTER, CO 80020
WESTMINSTER, CO 80020
33aNPI1124683818assigned 05/08/2019
33bProvider typeStudent in an Organized Health Care Education/Training Program
28Total paid$15K
24GClaims313
24DCodes billed7
24AFirst – last monthFeb 2023 – Apr 2023
Compared with peers
Next to other Student in an Organized Health Care Education/Training Program providers in Colorado
Rank by total paid#12 of 33
Median peer was paid$7K
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 | |
|---|---|---|---|
| 2023 | 313 | $15K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 34% | 32 | 13 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 18% | 67 | 61 | $3K |
| D0140 | Limited oral evaluation - problem focused | 18% | 79 | 74 | $3K |
| D0330 | Panoramic radiographic image | 13% | 38 | 38 | $2K |
| D0210 | Intraoral - complete series of radiographic images | 6.6% | 13 | 13 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 5.3% | 65 | 60 | $812.80 |
| D1110 | Prophylaxis - adult | 5.2% | 19 | 16 | $797.43 |
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.