Dental
Scott, Sam
Scott, Sam was paid $388.77 by Medicaid between Jan 2018 and Dec 2023, across 17 billing codes. Its largest line is D0140, Limited oral evaluation - problem focused — 53% of everything it billed.
33Billing provider infoSCOTT, SAM
COOS BAY, OR 97420
COOS BAY, OR 97420
33aNPI1134264021assigned 02/20/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$388.77
24GClaims12,841
24DCodes billed17
24AFirst – last monthJan 2018 – Dec 2023
Compared with peers
Next to other General Practice Dentistry providers in Oregon
Rank by total paid#254 of 311
Median peer was paid$6K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2018 | 3,331 | $0.00 | |
| 2019 | 3,059 | $105.59 | |
| 2020 | 1,773 | $23.41 | |
| 2021 | 1,079 | $165.60 | |
| 2022 | 1,815 | $94.17 | |
| 2023 | 1,784 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 53% | 1,020 | 993 | $207.09 |
| D0220 | Intraoral - periapical first radiographic image | 20% | 860 | 829 | $76.09 |
| D1206 | Topical application of fluoride varnish | 8.6% | 1,610 | 1,576 | $33.48 |
| D1330 | 7.1% | 2,615 | 2,527 | $27.47 | |
| D0603 | 5.7% | 1,271 | 1,212 | $22.32 | |
| D1354 | 5.7% | 1,747 | 754 | $22.32 | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 0% | 1,220 | 1,183 | $0.00 |
| D0602 | 0% | 571 | 557 | $0.00 | |
| D0272 | Bitewings - two radiographic images | 0% | 28 | 26 | $0.00 |
| D7140 | Extraction, erupted tooth or exposed root | 0% | 170 | 58 | $0.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 57 | 29 | $0.00 |
| D0601 | 0% | 28 | 28 | $0.00 |
5 more codes
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.