Dental
Samuel, Shady
Samuel, Shady was paid $136K by Medicaid between Jan 2018 and Nov 2024, across 20 billing codes. Its largest line is D1120, dental cleaning, child — 29% of everything it billed.
33Billing provider infoSAMUEL, SHADY
MINEOLA, NY 11501
MINEOLA, NY 11501
33aNPI1245536382assigned 02/08/2011
33bProvider typePediatric Dentist
28Total paid$136K
24GClaims6,094
24DCodes billed20
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatric Dentist providers in New York
Rank by total paid#286 of 514
Median peer was paid$196K
This provider vs. median0.7×
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 | 612 | $15K | |
| 2019 | 1,013 | $18K | |
| 2020 | 625 | $11K | |
| 2021 | 526 | $10K | |
| 2022 | 1,437 | $27K | |
| 2023 | 962 | $18K | |
| 2024incomplete | 919 | $37K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 29% | 1,239 | 1,239 | $40K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 16% | 1,056 | 1,056 | $22K |
| D0274 | Bitewings - four radiographic images | 9.3% | 631 | 631 | $13K |
| D0220 | Intraoral - periapical first radiographic image | 7.7% | 987 | 986 | $10K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 7.0% | 113 | 57 | $10K |
| D1208 | Topical application of fluoride, excluding varnish | 5.6% | 685 | 685 | $8K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.4% | 104 | 61 | $6K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 3.6% | 78 | 40 | $5K |
| D1351 | Sealant - per tooth | 3.2% | 137 | 38 | $4K |
| D1206 | Topical application of fluoride varnish | 3.1% | 193 | 193 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.9% | 560 | 560 | $4K |
| D7140 | Extraction, erupted tooth or exposed root | 2.1% | 78 | 44 | $3K |
8 more codes
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.0% | 91 | $3K |
| D9310 | 1.3% | 32 | $2K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 19 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 25 | $615.15 |
| D1110 | Prophylaxis - adult | <1% | 13 | $520.58 |
| D0272 | Bitewings - two radiographic images | <1% | 25 | $381.31 |
| D1330 | 0% | 14 | $0.00 | |
| D1310 | 0% | 14 | $0.00 |
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.