WEST, SAMUEL
NPI: 1265412399
· PLEASANT HILL, CA 94523
· General Practice Dentistry
· NPI assigned 01/17/2006
$262K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
989 |
$24K |
| 2019 |
1,502 |
$83K |
| 2020 |
1,009 |
$47K |
| 2021 |
815 |
$37K |
| 2022 |
469 |
$24K |
| 2023 |
384 |
$21K |
| 2024 |
494 |
$26K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,202 |
1,166 |
$68K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,100 |
1,089 |
$66K |
| D4355 |
|
698 |
672 |
$47K |
| D0120 |
Periodic oral evaluation - established patient |
960 |
946 |
$44K |
| D1206 |
Topical application of fluoride varnish |
1,072 |
1,066 |
$18K |
| D9410 |
|
561 |
435 |
$15K |
| D9920 |
|
30 |
30 |
$3K |
| D0220 |
Intraoral - periapical first radiographic image |
13 |
13 |
$156.00 |
| D9630 |
|
26 |
26 |
$0.00 |