Dental
Botros, Samuel
Botros, Samuel was paid $7K by Medicaid between Nov 2022 and Oct 2024, across 8 billing codes. Its largest line is D1110, Prophylaxis - adult — 30% of everything it billed.
33Billing provider infoBOTROS, SAMUEL
BAYONNE, NJ 07002
BAYONNE, NJ 07002
33aNPI1831477645assigned 07/27/2011
33bProvider typeGeneral Practice Dentistry
28Total paid$7K
24GClaims391
24DCodes billed8
24AFirst – last monthNov 2022 – Oct 2024
Compared with peers
Next to other General Practice Dentistry providers in New Jersey
Rank by total paid#563 of 790
Median peer was paid$43K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2022 | 26 | $360.00 | |
| 2023 | 55 | $955.00 | |
| 2024incomplete | 310 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 30% | 56 | 50 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 27% | 94 | 86 | $2K |
| D0140 | Limited oral evaluation - problem focused | 17% | 40 | 27 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | 11% | 32 | 30 | $740.00 |
| D0220 | Intraoral - periapical first radiographic image | 7.2% | 119 | 101 | $500.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.3% | 12 | 12 | $300.00 |
| D0274 | Bitewings - four radiographic images | 2.7% | 25 | 24 | $192.00 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 13 | 13 | $45.00 |
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.