Dental
Bever, Samuel
Bever, Samuel was paid $550K by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is D0999, Unspecified diagnostic procedure, by report — 49% of everything it billed.
33Billing provider infoBEVER, SAMUEL
VIENNA, WV 26105
VIENNA, WV 26105
33aNPI1316022536assigned 10/26/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$550K
24GClaims11,220
24DCodes billed18
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in West Virginia
Rank by total paid#28 of 193
Median peer was paid$44K
This provider vs. median13×
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 | 1,291 | $39K | |
| 2019 | 686 | $20K | |
| 2020 | 1,834 | $57K | |
| 2021 | 1,605 | $68K | |
| 2022 | 2,504 | $117K | |
| 2023 | 1,732 | $100K | |
| 2024incomplete | 1,568 | $148K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0999 | Unspecified diagnostic procedure, by report | 49% | 1,325 | 1,236 | $270K |
| D1110 | Prophylaxis - adult | 12% | 1,492 | 1,308 | $65K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.7% | 2,251 | 1,965 | $53K |
| D1208 | Topical application of fluoride, excluding varnish | 8.7% | 2,224 | 1,942 | $48K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.6% | 1,404 | 1,261 | $47K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 7.0% | 561 | 205 | $39K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 1.6% | 666 | 618 | $9K |
| D1354 | 1.1% | 125 | 15 | $6K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 412 | 377 | $3K |
| D0272 | Bitewings - two radiographic images | <1% | 133 | 117 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 282 | 251 | $3K |
| D2330 | <1% | 40 | 12 | $2K |
6 more codes
| D0274 | Bitewings - four radiographic images | <1% | 55 | $598.40 |
| D1206 | Topical application of fluoride varnish | <1% | 117 | $519.00 |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 34 | $352.00 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 30 | $66.00 |
| D0330 | Panoramic radiographic image | 0% | 54 | $0.00 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 15 | $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.