Dental
Coste, Samuel
Coste, Samuel was paid $6K by Medicaid between Jul 2024 and Aug 2024, across 13 billing codes. Its largest line is D0330, Panoramic radiographic image — 23% of everything it billed.
33Billing provider infoCOSTE, SAMUEL
ROSEBURG, OR 97471
ROSEBURG, OR 97471
33aNPI1851008791assigned 10/31/2022
33bProvider typeGeneral Practice Dentistry
28Total paid$6K
24GClaims1,230
24DCodes billed13
24AFirst – last monthJul 2024 – Aug 2024
Compared with peers
Next to other General Practice Dentistry providers in Oregon
Rank by total paid#163 of 311
Median peer was paid$6K
This provider vs. median0.9×
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 | |
|---|---|---|---|
| 2024incomplete | 1,230 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0330 | Panoramic radiographic image | 23% | 75 | 75 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | 21% | 103 | 103 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | 21% | 412 | 91 | $1K |
| D0274 | Bitewings - four radiographic images | 14% | 83 | 83 | $783.00 |
| D0220 | Intraoral - periapical first radiographic image | 9.2% | 102 | 100 | $506.00 |
| D0603 | 5.2% | 104 | 104 | $286.00 | |
| D1206 | Topical application of fluoride varnish | 3.1% | 40 | 37 | $171.00 |
| D0140 | Limited oral evaluation - problem focused | 1.3% | 14 | 12 | $70.00 |
| D1320 | 1.1% | 13 | 13 | $60.00 | |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 13 | 13 | $40.00 |
| D1354 | <1% | 45 | 14 | $30.00 | |
| D1310 | 0% | 113 | 113 | $0.00 |
1 more codes
| D1330 | 0% | 113 | $0.00 |
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.