Dental
Samuelson, Nicholas
Samuelson, Nicholas was paid $10K by Medicaid between Mar 2022 and Nov 2024, across 4 billing codes. Its largest line is D0330, Panoramic radiographic image — 33% of everything it billed.
33Billing provider infoSAMUELSON, NICHOLAS
OMAHA, NE 68116
OMAHA, NE 68116
33aNPI1538685698assigned 08/20/2017
33bProvider typeDentist
28Total paid$10K
24GClaims347
24DCodes billed4
24AFirst – last monthMar 2022 – Nov 2024
Compared with peers
Next to other Dentist providers in Nebraska
Rank by total paid#72 of 119
Median peer was paid$24K
This provider vs. median0.4×
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 | |
|---|---|---|---|
| 2022 | 69 | $2K | |
| 2023 | 56 | $1K | |
| 2024incomplete | 222 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0330 | Panoramic radiographic image | 33% | 96 | 94 | $3K |
| D0470 | 26% | 97 | 95 | $3K | |
| D0340 | 25% | 69 | 68 | $2K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 17% | 85 | 83 | $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.