Jundi Samman, Randa

Jundi Samman, Randa was paid $4K by Medicaid between Apr 2018 and Aug 2019, across 4 billing codes. Its largest line is D0120, dental checkup, returning patient — 42% of everything it billed.

33Billing provider infoJUNDI SAMMAN, RANDA
PORT HURON, MI 48060

33aNPI1366629479assigned 01/31/2008

33bProvider typeDentist

28Total paid$4K

24GClaims139

24DCodes billed4

24AFirst – last monthApr 2018 – Aug 2019

Compared with peers

Next to other Dentist providers in Michigan

Rank by total paid#710 of 1,033

Median peer was paid$15K

This provider vs. median0.3×

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	55	$2K
2019	84	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	42%	67	67	$2K
D1120	Dental cleaning, childProphylaxis - child	30%	33	33	$1K
D1208	Topical application of fluoride, excluding varnish	15%	27	27	$648.00
D0150	Comprehensive oral evaluation - new or established patient	12%	12	12	$540.00

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.