Clinic
Charles Sammons, DDS, PLLC
Charles Sammons, DDS, PLLC was paid $114K by Medicaid between Jan 2018 and Sep 2021, across 10 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 23% of everything it billed.
33Billing provider infoCHARLES SAMMONS, DDS, PLLC
LOUISA, KY 41230
LOUISA, KY 41230
33aNPI1376712471assigned 02/22/2008
33bProvider typeHealth Service Clinic/Center
28Total paid$114K
24GClaims6,029
24DCodes billed10
24AFirst – last monthJan 2018 – Sep 2021
Compared with peers
Next to other Health Service Clinic/Center providers in Kentucky
Rank by total paid#6 of 8
Median peer was paid$115K
This provider vs. median1.0×
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 | 1,853 | $39K | |
| 2019 | 1,948 | $38K | |
| 2020 | 1,296 | $22K | |
| 2021 | 932 | $16K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 23% | 1,122 | 1,080 | $26K |
| D1120 | Dental cleaning, childProphylaxis - child | 20% | 554 | 539 | $23K |
| D0272 | Bitewings - two radiographic images | 10% | 800 | 773 | $12K |
| D1208 | Topical application of fluoride, excluding varnish | 9.6% | 765 | 736 | $11K |
| D1110 | Prophylaxis - adult | 8.8% | 274 | 260 | $10K |
| D7140 | Extraction, erupted tooth or exposed root | 8.4% | 258 | 84 | $10K |
| D0220 | Intraoral - periapical first radiographic image | 7.5% | 1,091 | 1,041 | $9K |
| D0330 | Panoramic radiographic image | 7.0% | 225 | 219 | $8K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.7% | 853 | 815 | $4K |
| D0140 | Limited oral evaluation - problem focused | 2.1% | 87 | 82 | $2K |
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 officialSAMMONS, CHARLES (DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Charles E. Sammons, DDS | Kermit, WV | $180.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.