Bowdoin, Samuel

Bowdoin, Samuel was paid $429K by Medicaid between Jan 2018 and Sep 2021, across 16 billing codes. Its largest line is D1351, Sealant - per tooth — 23% of everything it billed.

33Billing provider infoBOWDOIN, SAMUEL
LEAWOOD, KS 66224

33aNPI1760574461assigned 09/29/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$429K

24GClaims18,331

24DCodes billed16

24AFirst – last monthJan 2018 – Sep 2021

Compared with peers

Next to other General Practice Dentistry providers in Kansas

Rank by total paid#28 of 203

Median peer was paid$40K

This provider vs. median11×

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	5,770	$145K
2019	4,933	$103K
2020	6,692	$163K
2021	936	$18K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1351	Sealant - per tooth	23%	4,509	729	$100K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	15%	1,045	552	$65K
D0274	Bitewings - four radiographic images	9.7%	1,643	1,500	$42K
D1120	Dental cleaning, childProphylaxis - child	9.2%	1,613	1,466	$40K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	8.6%	2,007	1,805	$37K
D1206	Topical application of fluoride varnish	8.4%	2,381	2,121	$36K
D1110	Prophylaxis - adult	7.2%	918	824	$31K
D2391	Resin-based composite - one surface, posterior, primary or permanent	4.1%	327	179	$18K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	2.8%	726	532	$12K
D0220	Intraoral - periapical first radiographic image	2.8%	1,145	992	$12K
D0150	Comprehensive oral evaluation - new or established patient	2.2%	357	325	$9K
D0330	Panoramic radiographic image	2.1%	238	225	$9K

4 more codes

D0230	Intraoral - periapical each additional radiographic image	1.9%	944	$8K
D0272	Bitewings - two radiographic images	1.7%	419	$7K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	<1%	44	$3K
D0140	Limited oral evaluation - problem focused	<1%	15	$440.25

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.