Greywati, Sami

Greywati, Sami was paid $197K by Medicaid between Oct 2020 and Nov 2021, across 17 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 20% of everything it billed.

33Billing provider infoGREYWATI, SAMI
MAYFIELD HTS, OH 44124

33aNPI1538230172assigned 11/13/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$197K

24GClaims5,800

24DCodes billed17

24AFirst – last monthOct 2020 – Nov 2021

Compared with peers

Next to other General Practice Dentistry providers in Ohio

Rank by total paid#243 of 870

Median peer was paid$40K

This provider vs. median4.9×

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
2020	566	$22K
2021	5,234	$175K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	20%	672	342	$40K
D1110	Prophylaxis - adult	13%	740	735	$26K
D0330	Panoramic radiographic image	11%	609	599	$22K
D0274	Bitewings - four radiographic images	10%	754	745	$20K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	8.7%	263	160	$17K
D0150	Comprehensive oral evaluation - new or established patient	6.8%	697	695	$13K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth	6.0%	207	87	$12K
D2391	Resin-based composite - one surface, posterior, primary or permanent	5.8%	232	141	$11K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	5.7%	584	582	$11K
D1351	Sealant - per tooth	4.7%	375	58	$9K
D1206	Topical application of fluoride varnish	2.9%	333	332	$6K
D1120	Dental cleaning, childProphylaxis - child	2.8%	186	186	$5K

5 more codes

D7140	Extraction, erupted tooth or exposed root	<1%	24	$2K
D0140	Limited oral evaluation - problem focused	<1%	20	$1K
D0272	Bitewings - two radiographic images	<1%	55	$848.00
D9110		<1%	15	$420.00
D0220	Intraoral - periapical first radiographic image	<1%	34	$212.00

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.