Samson Dental

Samson Dental was paid $355K by Medicaid between Jan 2018 and Dec 2024, across 16 billing codes. Its largest line is D1110, Prophylaxis - adult — 18% of everything it billed.

33Billing provider infoSAMSON DENTAL
OLD SAYBROOK, CT 06475

33aNPI1336551241assigned 05/27/2014

33bProvider typeGeneral Practice Dentistry

28Total paid$355K

24GClaims9,407

24DCodes billed16

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other General Practice Dentistry providers in Connecticut

Rank by total paid#116 of 431

Median peer was paid$79K

This provider vs. median4.5×

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	470	$15K
2019	544	$15K
2020	966	$32K
2021	1,829	$65K
2022	834	$24K
2023	2,086	$89K
2024incomplete	2,678	$115K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	18%	1,977	1,829	$64K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	14%	2,194	2,090	$51K
D1120	Dental cleaning, childProphylaxis - child	13%	1,054	1,024	$45K
D0150	Comprehensive oral evaluation - new or established patient	10%	834	806	$36K
D2160		9.4%	381	231	$33K
D0274	Bitewings - four radiographic images	8.9%	1,059	998	$32K
D0210	Intraoral - complete series of radiographic images	8.9%	551	528	$32K
D2150	Silver amalgam - two surfaces, primary or permanent	7.6%	364	214	$27K
D1208	Topical application of fluoride, excluding varnish	3.7%	493	476	$13K
D7140	Extraction, erupted tooth or exposed root	2.2%	160	46	$8K
D2332		1.0%	30	12	$4K
D0140	Limited oral evaluation - problem focused	<1%	143	134	$3K

4 more codes

D2140		<1%	48	$3K
D2391	Resin-based composite - one surface, posterior, primary or permanent	<1%	30	$2K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	<1%	22	$1K
D0220	Intraoral - periapical first radiographic image	<1%	67	$716.62

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.

From NPPES

Who's on the registration

Authorized officialSAMSON, WILFORD (OWNER)