Sutton, Samantha

Sutton, Samantha was paid $60K by Medicaid between Jan 2018 and Jun 2020, across 8 billing codes. Its largest line is D0120, dental checkup, returning patient — 29% of everything it billed.

33Billing provider infoSUTTON, SAMANTHA
MOUND CITY, MO 64470

33aNPI1548469398assigned 07/12/2007

33bProvider typeDentist

28Total paid$60K

24GClaims1,689

24DCodes billed8

24AFirst – last monthJan 2018 – Jun 2020

Compared with peers

Next to other Dentist providers in Missouri

Rank by total paid#172 of 284

Median peer was paid$109K

This provider vs. median0.6×

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
2018	892	$34K
2019	715	$24K
2020	82	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	29%	416	414	$17K
D1120	Dental cleaning, childProphylaxis - child	26%	310	306	$16K
D1206	Topical application of fluoride varnish	25%	499	493	$15K
D0220	Intraoral - periapical first radiographic image	11%	279	266	$7K
D0272	Bitewings - two radiographic images	4.3%	74	74	$3K
D0230	Intraoral - periapical each additional radiographic image	2.8%	81	81	$2K
D0140	Limited oral evaluation - problem focused	1.6%	18	14	$944.00
D0150	Comprehensive oral evaluation - new or established patient	<1%	12	12	$337.00

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.