Dental
Bailey, Samuel
Bailey, Samuel was paid $4.51M by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is D0120, dental checkup, returning patient — 33% of everything it billed.
33Billing provider infoBAILEY, SAMUEL
TAYLORSVILLE, UT 84129
TAYLORSVILLE, UT 84129
33aNPI1285990978assigned 04/06/2012
33bProvider typePediatric Dentist
28Total paid$4.51M
24GClaims127,871
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Utah
Rank by total paid#1 of 152
Median peer was paid$311K
This provider vs. median15×
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 | 13,271 | $435K | |
| 2019 | 18,945 | $656K | |
| 2020 | 20,439 | $720K | |
| 2021 | 18,238 | $639K | |
| 2022 | 22,999 | $773K | |
| 2023 | 18,863 | $716K | |
| 2024incomplete | 15,116 | $572K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 33% | 14,680 | 14,589 | $1.48M |
| D1351 | Sealant - per tooth | 9.9% | 12,898 | 3,024 | $448K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 7.7% | 5,301 | 1,339 | $347K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.7% | 2,713 | 2,690 | $304K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 5.5% | 4,038 | 1,739 | $247K |
| D1120 | Dental cleaning, childProphylaxis - child | 5.3% | 16,007 | 15,884 | $241K |
| D0220 | Intraoral - periapical first radiographic image | 4.5% | 10,629 | 10,469 | $205K |
| D0272 | Bitewings - two radiographic images | 3.7% | 8,780 | 8,693 | $167K |
| D2140 | 3.6% | 3,309 | 1,642 | $163K | |
| D7140 | Extraction, erupted tooth or exposed root | 3.5% | 2,762 | 1,413 | $157K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.5% | 1,994 | 879 | $156K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.2% | 1,727 | 799 | $146K |
11 more codes
| D1206 | Topical application of fluoride varnish | 2.4% | 16,300 | $108K |
| D0330 | Panoramic radiographic image | 1.8% | 3,280 | $83K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.5% | 14,629 | $67K |
| D0274 | Bitewings - four radiographic images | 1.3% | 4,807 | $57K |
| D9248 | 1.0% | 691 | $46K | |
| D9420 | <1% | 559 | $27K | |
| D1110 | Prophylaxis - adult | <1% | 1,377 | $27K |
| D0140 | Limited oral evaluation - problem focused | <1% | 485 | $21K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 313 | $15K |
| D4355 | <1% | 48 | $4K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 544 | $1K |
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.