Dental
O'dell, Samuel
O'dell, Samuel was paid $42K by Medicaid between Mar 2021 and Jun 2024, across 6 billing codes. Its largest line is D1110, Prophylaxis - adult — 58% of everything it billed.
33Billing provider infoO'DELL, SAMUEL
HURRICANE, WV 25526
HURRICANE, WV 25526
33aNPI1497891493assigned 01/29/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$42K
24GClaims1,093
24DCodes billed6
24AFirst – last monthMar 2021 – Jun 2024
Compared with peers
Next to other General Practice Dentistry providers in West Virginia
Rank by total paid#100 of 193
Median peer was paid$44K
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 | |
|---|---|---|---|
| 2021 | 196 | $8K | |
| 2022 | 339 | $12K | |
| 2023 | 422 | $16K | |
| 2024incomplete | 136 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 58% | 468 | 428 | $25K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 23% | 381 | 348 | $10K |
| D0274 | Bitewings - four radiographic images | 12% | 135 | 129 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.5% | 43 | 41 | $1K |
| D1206 | Topical application of fluoride varnish | 1.9% | 40 | 39 | $814.00 |
| D9630 | <1% | 26 | 26 | $400.00 |
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.