Sarnicke, Samantha

Sarnicke, Samantha was paid $304K by Medicaid between Jan 2018 and Nov 2024, across 24 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 24% of everything it billed.

33Billing provider infoSARNICKE, SAMANTHA
BENTLEYVILLE, PA 15314

33aNPI1285017434assigned 07/07/2015

33bProvider typeGeneral Practice Dentistry

28Total paid$304K

24GClaims9,513

24DCodes billed24

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other General Practice Dentistry providers in Pennsylvania

Rank by total paid#108 of 847

Median peer was paid$37K

This provider vs. median8.3×

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	54	$1K
2019	103	$2K
2020	789	$25K
2021	5,994	$215K
2024incomplete	2,573	$60K

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	24%	1,234	570	$74K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	12%	547	325	$35K
D1110	Prophylaxis - adult	11%	992	987	$34K
D0330	Panoramic radiographic image	10%	901	893	$32K
D0274	Bitewings - four radiographic images	9.6%	1,105	1,096	$29K
D0150	Comprehensive oral evaluation - new or established patient	6.9%	1,098	1,087	$21K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	5.5%	879	871	$17K
D2391	Resin-based composite - one surface, posterior, primary or permanent	5.2%	324	219	$16K
D2335		3.0%	142	81	$9K
D1206	Topical application of fluoride varnish	2.6%	448	438	$8K
D1120	Dental cleaning, childProphylaxis - child	2.2%	231	228	$7K
D1330		1.3%	338	338	$4K

12 more codes

D1310		1.3%	340	$4K
D2332		1.2%	63	$4K
D0220	Intraoral - periapical first radiographic image	1.1%	557	$3K
D2330		<1%	39	$2K
D8670	Periodic orthodontic treatment visit	<1%	14	$2K
D2394		<1%	21	$1K
D0272	Bitewings - two radiographic images	<1%	69	$1K
D2331		<1%	18	$1K
D0230	Intraoral - periapical each additional radiographic image	<1%	109	$730.92
D0140	Limited oral evaluation - problem focused	<1%	16	$479.00
D9110		<1%	13	$392.40
D1208	Topical application of fluoride, excluding varnish	<1%	15	$224.04

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.