Bacon, Samuel

Bacon, Samuel was paid $1K by Medicaid between Jul 2021 and Jul 2021, across 2 billing codes. Its largest line is D1110, Prophylaxis - adult — 71% of everything it billed.

33Billing provider infoBACON, SAMUEL
FISHERS, IN 46038

33aNPI1811070857assigned 10/23/2006

33bProvider typeDentist

28Total paid$1K

24GClaims28

24DCodes billed2

24AFirst – last monthJul 2021 – Jul 2021

Compared with peers

Next to other Dentist providers in Indiana

Rank by total paid#385 of 452

Median peer was paid$59K

This provider vs. median0.0×

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	28	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	71%	15	14	$902.54
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	29%	13	12	$374.78

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.