Dental
Sam Dental PLLC
Sam Dental PLLC was paid $188K by Medicaid between Jun 2023 and Dec 2024, across 18 billing codes. Its largest line is D1351, Sealant - per tooth — 24% of everything it billed.
33Billing provider infoSAM DENTAL PLLC
MIDLAND, TX 79705
MIDLAND, TX 79705
33aNPI1497461024assigned 01/26/2023
33bProvider typePediatric Dentist
28Total paid$188K
24GClaims9,487
24DCodes billed18
24AFirst – last monthJun 2023 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Texas
Rank by total paid#384 of 693
Median peer was paid$252K
This provider vs. median0.7×
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 | |
|---|---|---|---|
| 2023 | 3,135 | $62K | |
| 2024incomplete | 6,352 | $126K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 24% | 1,785 | 269 | $45K |
| D0145 | Oral evaluation for a patient under three years of age | 14% | 215 | 210 | $26K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 718 | 708 | $23K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.4% | 394 | 384 | $12K |
| D1208 | Topical application of fluoride, excluding varnish | 6.4% | 915 | 899 | $12K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.9% | 457 | 438 | $11K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.6% | 1,349 | 797 | $11K |
| D0220 | Intraoral - periapical first radiographic image | 4.8% | 1,002 | 946 | $9K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.8% | 138 | 70 | $9K |
| D0272 | Bitewings - two radiographic images | 4.8% | 526 | 509 | $9K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.9% | 308 | 290 | $7K |
| D1110 | Prophylaxis - adult | 3.2% | 141 | 136 | $6K |
6 more codes
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 officialVUPPALA, RAMU (OWNER)