Dental
Samuel, Jayakumar
Samuel, Jayakumar was paid $74K by Medicaid between Sep 2020 and Aug 2023, across 8 billing codes. Its largest line is D0330, Panoramic radiographic image — 36% of everything it billed.
33Billing provider infoSAMUEL, JAYAKUMAR
ESPANOLA, NM 87532
ESPANOLA, NM 87532
33aNPI1730608928assigned 09/19/2017
33bProvider typeDentist
28Total paid$74K
24GClaims1,674
24DCodes billed8
24AFirst – last monthSep 2020 – Aug 2023
Compared with peers
Next to other Dentist providers in New Mexico
Rank by total paid#78 of 179
Median peer was paid$47K
This provider vs. median1.6×
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 | |
|---|---|---|---|
| 2020 | 108 | $5K | |
| 2021 | 194 | $8K | |
| 2022 | 738 | $34K | |
| 2023 | 634 | $27K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0330 | Panoramic radiographic image | 36% | 544 | 541 | $26K |
| D0140 | Limited oral evaluation - problem focused | 20% | 526 | 513 | $15K |
| D0150 | Comprehensive oral evaluation - new or established patient | 16% | 341 | 340 | $12K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 13% | 99 | 52 | $10K |
| D7140 | Extraction, erupted tooth or exposed root | 5.7% | 63 | 25 | $4K |
| D4341 | 4.0% | 28 | 12 | $3K | |
| D1110 | Prophylaxis - adult | 3.3% | 61 | 60 | $2K |
| D4346 | 1.8% | 12 | 12 | $1K |
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.