Prisco, Samuel

Prisco, Samuel was paid $3K by Medicaid between May 2021 and Sep 2021, across 3 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 73% of everything it billed.

33Billing provider infoPRISCO, SAMUEL
JERMYN, PA 18433

33aNPI1730241894assigned 12/15/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$3K

24GClaims69

24DCodes billed3

24AFirst – last monthMay 2021 – Sep 2021

Compared with peers

Next to other General Practice Dentistry providers in Pennsylvania

Rank by total paid#680 of 847

Median peer was paid$37K

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
2021	69	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	73%	42	26	$2K
D1110	Prophylaxis - adult	15%	13	13	$468.00
D0274	Bitewings - four radiographic images	12%	14	14	$392.00

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.