Dental
Sammons, Charles
Sammons, Charles was paid $158K by Medicaid between Sep 2020 and Oct 2024, across 12 billing codes. Its largest line is D1110, Prophylaxis - adult — 18% of everything it billed.
33Billing provider infoSAMMONS, CHARLES
KERMIT, WV 25674
KERMIT, WV 25674
33aNPI1447441761assigned 08/05/2007
33bProvider typeDentist
28Total paid$158K
24GClaims6,361
24DCodes billed12
24AFirst – last monthSep 2020 – Oct 2024
Compared with peers
Next to other Dentist providers in West Virginia
Rank by total paid#41 of 112
Median peer was paid$60K
This provider vs. median2.6×
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 | |
|---|---|---|---|
| 2020 | 24 | $414.65 | |
| 2021 | 228 | $5K | |
| 2022 | 1,487 | $31K | |
| 2023 | 2,257 | $59K | |
| 2024incomplete | 2,365 | $62K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 18% | 496 | 490 | $28K |
| D0150 | Comprehensive oral evaluation - new or established patient | 15% | 751 | 737 | $23K |
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 425 | 419 | $20K |
| D0330 | Panoramic radiographic image | 12% | 325 | 317 | $19K |
| D0272 | Bitewings - two radiographic images | 11% | 887 | 877 | $17K |
| D0220 | Intraoral - periapical first radiographic image | 7.4% | 1,084 | 1,066 | $12K |
| D1208 | Topical application of fluoride, excluding varnish | 7.4% | 676 | 669 | $12K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.8% | 341 | 341 | $9K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.6% | 1,135 | 964 | $9K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.2% | 63 | 46 | $3K |
| D1351 | Sealant - per tooth | 2.0% | 141 | 30 | $3K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.6% | 37 | 24 | $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.