Patel, Samir

Patel, Samir was paid $4K by Medicaid between Oct 2018 and Jan 2020, across 6 billing codes. Its largest line is D0330, Panoramic radiographic image — 33% of everything it billed.

33Billing provider infoPATEL, SAMIR
THAYER, MO 65791

33aNPI1316102312assigned 07/20/2008

33bProvider typeGeneral Practice Dentistry

28Total paid$4K

24GClaims176

24DCodes billed6

24AFirst – last monthOct 2018 – Jan 2020

Compared with peers

Next to other General Practice Dentistry providers in Missouri

Rank by total paid#225 of 260

Median peer was paid$78K

This provider vs. median0.1×

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	27	$1K
2019	96	$2K
2020	53	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0330	Panoramic radiographic image	33%	41	41	$1K
D0272	Bitewings - two radiographic images	18%	55	55	$750.90
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	18%	29	29	$727.40
D0140	Limited oral evaluation - problem focused	11%	14	13	$468.80
D0150	Comprehensive oral evaluation - new or established patient	11%	12	12	$460.20
D1206	Topical application of fluoride varnish	9.1%	25	25	$378.70

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.