Rattanasamay, Malynn

Rattanasamay, Malynn was paid $50K by Medicaid between Jan 2018 and May 2021, across 8 billing codes. Its largest line is D1120, dental cleaning, child — 37% of everything it billed.

33Billing provider infoRATTANASAMAY, MALYNN
BOISE, ID 83704

33aNPI1740620731assigned 07/05/2013

33bProvider typeGeneral Practice Dentistry

28Total paid$50K

24GClaims2,985

24DCodes billed8

24AFirst – last monthJan 2018 – May 2021

Compared with peers

Next to other General Practice Dentistry providers in Idaho

Rank by total paid#63 of 173

Median peer was paid$22K

This provider vs. median2.2×

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	788	$14K
2019	1,069	$18K
2020	654	$11K
2021	474	$7K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	37%	765	746	$19K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	22%	604	590	$11K
D1206	Topical application of fluoride varnish	22%	937	885	$11K
D0272	Bitewings - two radiographic images	11%	445	435	$6K
D0150	Comprehensive oral evaluation - new or established patient	4.8%	101	100	$2K
D0240		1.5%	77	36	$776.25
D1351	Sealant - per tooth	1.5%	41	12	$737.88
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	<1%	15	15	$161.60

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.