Dental
Samano, Ivan
Samano, Ivan was paid $18K by Medicaid between Jan 2018 and Jun 2020, across 6 billing codes. Its largest line is D0120, dental checkup, returning patient — 46% of everything it billed.
33Billing provider infoSAMANO, IVAN
BLOOMFIELD HILLS, MI 48304
BLOOMFIELD HILLS, MI 48304
33aNPI1659468361assigned 10/06/2006
33bProvider typeDentist
28Total paid$18K
24GClaims643
24DCodes billed6
24AFirst – last monthJan 2018 – Jun 2020
Compared with peers
Next to other Dentist providers in Michigan
Rank by total paid#490 of 1,033
Median peer was paid$15K
This provider vs. median1.2×
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 | 292 | $8K | |
| 2019 | 254 | $7K | |
| 2020 | 97 | $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 | 46% | 311 | 311 | $8K |
| D1120 | Dental cleaning, childProphylaxis - child | 22% | 102 | 102 | $4K |
| D1208 | Topical application of fluoride, excluding varnish | 21% | 161 | 161 | $4K |
| D0274 | Bitewings - four radiographic images | 4.7% | 25 | 25 | $847.00 |
| D1206 | Topical application of fluoride varnish | 3.6% | 31 | 31 | $650.00 |
| D1110 | Prophylaxis - adult | 3.3% | 13 | 13 | $594.00 |
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.