Dental
Amirani, Sam
Amirani, Sam was paid $321K by Medicaid between Jan 2018 and Jun 2020, across 20 billing codes. Its largest line is D1351, Sealant - per tooth — 30% of everything it billed.
33Billing provider infoAMIRANI, SAM
WICHITA, KS 67218
WICHITA, KS 67218
33aNPI1831151471assigned 04/06/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$321K
24GClaims12,885
24DCodes billed20
24AFirst – last monthJan 2018 – Jun 2020
Compared with peers
Next to other General Practice Dentistry providers in Kansas
Rank by total paid#39 of 203
Median peer was paid$40K
This provider vs. median8.0×
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 | |
|---|---|---|---|
| 2018 | 7,139 | $184K | |
| 2019 | 5,730 | $137K | |
| 2020 | 16 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 30% | 4,146 | 801 | $95K |
| D1110 | Prophylaxis - adult | 10.0% | 844 | 817 | $32K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.3% | 1,348 | 1,305 | $27K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.7% | 358 | 214 | $25K |
| D1120 | Dental cleaning, childProphylaxis - child | 6.7% | 789 | 763 | $22K |
| D1206 | Topical application of fluoride varnish | 6.1% | 1,232 | 1,174 | $20K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 6.0% | 968 | 873 | $19K |
| D0274 | Bitewings - four radiographic images | 5.2% | 621 | 596 | $17K |
| D0330 | Panoramic radiographic image | 4.2% | 460 | 447 | $13K |
| D0140 | Limited oral evaluation - problem focused | 3.2% | 384 | 348 | $10K |
| D2751 | Crown - porcelain fused to predominantly base metal | 2.6% | 19 | 14 | $8K |
| D0220 | Intraoral - periapical first radiographic image | 2.3% | 673 | 622 | $8K |
8 more codes
| D0272 | Bitewings - two radiographic images | 1.8% | 308 | $6K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.8% | 211 | $6K |
| D7140 | Extraction, erupted tooth or exposed root | 1.3% | 92 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.1% | 310 | $3K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 38 | $3K |
| D2954 | <1% | 16 | $2K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 22 | $2K |
| D0270 | <1% | 46 | $602.00 |
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.