Dental
Pratt, Samuel
Pratt, Samuel was paid $7K by Medicaid between Jan 2018 and Jun 2021, across 4 billing codes. Its largest line is D0272, Bitewings - two radiographic images — 36% of everything it billed.
33Billing provider infoPRATT, SAMUEL
MONCKS CORNER, SC 29461
MONCKS CORNER, SC 29461
33aNPI1568420859assigned 05/03/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$7K
24GClaims344
24DCodes billed4
24AFirst – last monthJan 2018 – Jun 2021
Compared with peers
Next to other General Practice Dentistry providers in South Carolina
Rank by total paid#258 of 331
Median peer was paid$75K
This provider vs. median0.1×
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 | 144 | $3K | |
| 2019 | 105 | $2K | |
| 2020 | 12 | $227.28 | |
| 2021 | 83 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0272 | Bitewings - two radiographic images | 36% | 131 | 131 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 29% | 122 | 122 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 27% | 79 | 79 | $2K |
| D1110 | Prophylaxis - adult | 8.5% | 12 | 12 | $554.40 |
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.