Lu, Samuel

Lu, Samuel was paid $32K by Medicaid between Aug 2020 and Jan 2023, across 6 billing codes. Its largest line is D1110, Prophylaxis - adult — 51% of everything it billed.

33Billing provider infoLU, SAMUEL
HOLYOKE, MA 01040

33aNPI1235162124assigned 07/07/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$32K

24GClaims1,365

24DCodes billed6

24AFirst – last monthAug 2020 – Jan 2023

Compared with peers

Next to other General Practice Dentistry providers in Massachusetts

Rank by total paid#440 of 693

Median peer was paid$87K

This provider vs. median0.4×

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
2020	128	$2K
2021	441	$7K
2022	744	$21K
2023	52	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	51%	481	472	$16K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	26%	532	521	$8K
D0210	Intraoral - complete series of radiographic images	11%	60	59	$3K
D0220	Intraoral - periapical first radiographic image	7.8%	233	226	$2K
D7140	Extraction, erupted tooth or exposed root	3.3%	30	15	$1K
D0274	Bitewings - four radiographic images	1.5%	29	29	$457.40

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.