Wong, Samantha
Wong, Samantha was paid $17K by Medicaid between Mar 2023 and Jul 2024, across 10 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 26% of everything it billed.
33Billing provider infoWONG, SAMANTHA
RIO COMMUNITIES, NM 87002
RIO COMMUNITIES, NM 87002
33aNPI1205566486assigned 06/12/2022
33bProvider typeStudent in an Organized Health Care Education/Training Program
28Total paid$17K
24GClaims608
24DCodes billed10
24AFirst – last monthMar 2023 – Jul 2024
Compared with peers
Next to other Student in an Organized Health Care Education/Training Program providers in New Mexico
Rank by total paid#6 of 14
Median peer was paid$11K
This provider vs. median1.6×
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 | 382 | $10K | |
| 2024incomplete | 226 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 26% | 63 | 28 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 23% | 112 | 112 | $4K |
| D0274 | Bitewings - four radiographic images | 13% | 76 | 74 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 11% | 169 | 165 | $2K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.2% | 39 | 39 | $1K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.4% | 16 | 12 | $921.47 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.0% | 39 | 39 | $845.52 |
| D1206 | Topical application of fluoride varnish | 4.4% | 43 | 43 | $744.50 |
| D0230 | Intraoral - periapical each additional radiographic image | 2.7% | 39 | 31 | $462.80 |
| D1208 | Topical application of fluoride, excluding varnish | 1.2% | 12 | 12 | $209.25 |
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.