Samuelson, David

Samuelson, David was paid $44K by Medicaid between Feb 2018 and Nov 2019, across 6 billing codes. Its largest line is D1120, dental cleaning, child — 37% of everything it billed.

33Billing provider infoSAMUELSON, DAVID
LOWDEN, IA 52255

33aNPI1629154018assigned 10/27/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$44K

24GClaims1,516

24DCodes billed6

24AFirst – last monthFeb 2018 – Nov 2019

Compared with peers

Next to other General Practice Dentistry providers in Iowa

Rank by total paid#171 of 437

Median peer was paid$22K

This provider vs. median2.0×

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	760	$22K
2019	756	$22K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	37%	414	376	$16K
D1206	Topical application of fluoride varnish	23%	412	374	$10K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	20%	389	370	$9K
D1351	Sealant - per tooth	20%	121	84	$9K
D0601		0%	147	141	$0.00
D0602		0%	33	33	$0.00

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.