Dental
Bona, Samantha
Bona, Samantha was paid $0.00 by Medicaid between Jul 2020 and May 2021, across 10 billing codes. Its largest line is D0120, dental checkup, returning patient — 0% of everything it billed.
33Billing provider infoBONA, SAMANTHA
MENLO PARK, CA 94025
MENLO PARK, CA 94025
33aNPI1255708491assigned 08/24/2015
33bProvider typeDentist
28Total paid$0.00
24GClaims1,855
24DCodes billed10
24AFirst – last monthJul 2020 – May 2021
Compared with peers
Next to other Dentist providers in California
Rank by total paid#2,262 of 2,314
Median peer was paid$185K
This provider vs. median0.0×
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 | 685 | $0.00 | |
| 2021 | 1,170 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 0% | 434 | 428 | $0.00 |
| D0272 | Bitewings - two radiographic images | 0% | 303 | 300 | $0.00 |
| D1206 | Topical application of fluoride varnish | 0% | 472 | 466 | $0.00 |
| D1120 | Dental cleaning, childProphylaxis - child | 0% | 400 | 396 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 42 | 39 | $0.00 |
| D1354 | 0% | 56 | 14 | $0.00 | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 32 | 15 | $0.00 |
| D0274 | Bitewings - four radiographic images | 0% | 52 | 50 | $0.00 |
| D1110 | Prophylaxis - adult | 0% | 45 | 45 | $0.00 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 0% | 19 | 16 | $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.