Dental
Osobu, Samuel
Osobu, Samuel was paid $263K by Medicaid between Jan 2018 and Sep 2024, across 17 billing codes. Its largest line is D1120, dental cleaning, child — 17% of everything it billed.
33Billing provider infoOSOBU, SAMUEL
BOURBONNAIS, IL 60914
BOURBONNAIS, IL 60914
33aNPI1184008542assigned 07/16/2015
33bProvider typeGeneral Practice Dentistry
28Total paid$263K
24GClaims11,580
24DCodes billed17
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other General Practice Dentistry providers in Illinois
Rank by total paid#379 of 1,017
Median peer was paid$123K
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 | |
|---|---|---|---|
| 2018 | 1,222 | $29K | |
| 2019 | 1,581 | $38K | |
| 2020 | 999 | $15K | |
| 2021 | 1,205 | $23K | |
| 2022 | 2,318 | $59K | |
| 2023 | 2,757 | $66K | |
| 2024incomplete | 1,498 | $34K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 17% | 1,113 | 1,067 | $44K |
| D0150 | Comprehensive oral evaluation - new or established patient | 14% | 1,731 | 1,650 | $38K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 1,107 | 1,071 | $29K |
| D0274 | Bitewings - four radiographic images | 9.6% | 1,500 | 1,433 | $25K |
| D1208 | Topical application of fluoride, excluding varnish | 8.3% | 860 | 828 | $22K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.1% | 257 | 147 | $19K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 6.6% | 202 | 117 | $17K |
| D1351 | Sealant - per tooth | 5.6% | 268 | 100 | $15K |
| D1110 | Prophylaxis - adult | 4.8% | 322 | 315 | $13K |
| D0220 | Intraoral - periapical first radiographic image | 4.1% | 1,987 | 1,870 | $11K |
| D4341 | 3.0% | 39 | 24 | $8K | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 2.9% | 140 | 73 | $8K |
5 more codes
| D0230 | Intraoral - periapical each additional radiographic image | 2.3% | 1,481 | $6K |
| D0140 | Limited oral evaluation - problem focused | 1.6% | 265 | $4K |
| D0330 | Panoramic radiographic image | 1.6% | 197 | $4K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 55 | $903.70 |
| D0272 | Bitewings - two radiographic images | <1% | 56 | $548.37 |
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.