Dental
Zimmer, Samuel
Zimmer, Samuel was paid $128K by Medicaid between Sep 2018 and Jul 2020, across 13 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 21% of everything it billed.
33Billing provider infoZIMMER, SAMUEL
ASH GROVE, MO 65604
ASH GROVE, MO 65604
33aNPI1245722479assigned 06/04/2018
33bProvider typeDentist
28Total paid$128K
24GClaims4,505
24DCodes billed13
24AFirst – last monthSep 2018 – Jul 2020
Compared with peers
Next to other Dentist providers in Missouri
Rank by total paid#135 of 284
Median peer was paid$109K
This provider vs. median1.2×
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 | 953 | $32K | |
| 2019 | 2,519 | $74K | |
| 2020 | 1,033 | $22K |
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 | 21% | 346 | 197 | $27K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 18% | 886 | 886 | $23K |
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 710 | 710 | $17K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 10% | 216 | 142 | $13K |
| D1206 | Topical application of fluoride varnish | 9.8% | 811 | 811 | $13K |
| D1110 | Prophylaxis - adult | 7.1% | 274 | 274 | $9K |
| D0274 | Bitewings - four radiographic images | 7.0% | 352 | 352 | $9K |
| D0272 | Bitewings - two radiographic images | 6.4% | 540 | 540 | $8K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.5% | 131 | 131 | $6K |
| D0330 | Panoramic radiographic image | 1.6% | 57 | 57 | $2K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 91 | 91 | $926.00 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 79 | 71 | $880.00 |
1 more codes
| D1208 | Topical application of fluoride, excluding varnish | <1% | 12 | $144.00 |
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.