Sampson, Stephen

Sampson, Stephen was paid $30K by Medicaid between Jul 2018 and Apr 2019, across 10 billing codes. Its largest line is D1110, Prophylaxis - adult — 25% of everything it billed.

33Billing provider infoSAMPSON, STEPHEN
LONGMONT, CO 80501

33aNPI1689780637assigned 08/22/2006

33bProvider typeDentist

28Total paid$30K

24GClaims790

24DCodes billed10

24AFirst – last monthJul 2018 – Apr 2019

Compared with peers

Next to other Dentist providers in Colorado

Rank by total paid#192 of 344

Median peer was paid$45K

This provider vs. median0.7×

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	485	$16K
2019	305	$14K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	25%	170	160	$7K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	24%	54	27	$7K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	14%	177	166	$4K
D0150	Comprehensive oral evaluation - new or established patient	14%	109	105	$4K
D0210	Intraoral - complete series of radiographic images	7.1%	30	28	$2K
D1206	Topical application of fluoride varnish	6.9%	114	106	$2K
D0274	Bitewings - four radiographic images	3.9%	42	42	$1K
D0220	Intraoral - periapical first radiographic image	2.7%	64	60	$831.47
D0140	Limited oral evaluation - problem focused	1.7%	16	16	$519.52
D1120	Dental cleaning, childProphylaxis - child	1.4%	14	14	$416.64

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.