Samples, Kyle
Samples, Kyle was paid $26K by Medicaid between Feb 2018 and Feb 2020, across 6 billing codes. Its largest line is D1120, dental cleaning, child — 38% of everything it billed.
33Billing provider infoSAMPLES, KYLE
SEDALIA, MO 65301
SEDALIA, MO 65301
33aNPI1407146764assigned 04/07/2011
33bProvider typeStudent in an Organized Health Care Education/Training Program
28Total paid$26K
24GClaims696
24DCodes billed6
24AFirst – last monthFeb 2018 – Feb 2020
Compared with peers
Next to other Student in an Organized Health Care Education/Training Program providers in Missouri
Rank by total paid#30 of 102
Median peer was paid$7K
This provider vs. median3.9×
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 | 401 | $20K | |
| 2019 | 253 | $5K | |
| 2020 | 42 | $675.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 38% | 225 | 209 | $10K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 34% | 232 | 211 | $9K |
| D1208 | Topical application of fluoride, excluding varnish | 17% | 127 | 112 | $4K |
| D0272 | Bitewings - two radiographic images | 7.5% | 62 | 58 | $2K |
| D1206 | Topical application of fluoride varnish | 1.8% | 37 | 37 | $477.55 |
| D1110 | Prophylaxis - adult | 1.4% | 13 | 13 | $380.40 |
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.