Dental
DR. Samuel Lu P.C.
DR. Samuel Lu P.C. was paid $24K by Medicaid between Mar 2024 and Dec 2024, across 8 billing codes. Its largest line is D1110, Prophylaxis - adult — 32% of everything it billed.
33Billing provider infoDR. SAMUEL LU P.C.
AGAWAM, MA 01001
AGAWAM, MA 01001
33aNPI1528849791assigned 10/12/2023
33bProvider typeGeneral Practice Dentistry
28Total paid$24K
24GClaims524
24DCodes billed8
24AFirst – last monthMar 2024 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Massachusetts
Rank by total paid#466 of 693
Median peer was paid$87K
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2024incomplete | 524 | $24K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 32% | 130 | 129 | $8K |
| D0210 | Intraoral - complete series of radiographic images | 32% | 106 | 102 | $8K |
| D0150 | Comprehensive oral evaluation - new or established patient | 16% | 91 | 90 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 6.4% | 99 | 94 | $1K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.0% | 55 | 54 | $1K |
| D0274 | Bitewings - four radiographic images | 2.7% | 16 | 16 | $626.00 |
| D9110 | 2.1% | 14 | 13 | $490.00 | |
| D0140 | Limited oral evaluation - problem focused | 2.0% | 13 | 13 | $478.00 |
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.
From NPPES
Who's on the registration
Authorized officialLU, SAMUEL (DIRECTOR)