Clinic
Samantha Jette DDS - Professional Corporation
Samantha Jette DDS - Professional Corporation was paid $7K by Medicaid between Jan 2024 and Oct 2024, across 5 billing codes. Its largest line is D1110, Prophylaxis - adult — 37% of everything it billed.
33Billing provider infoSAMANTHA JETTE DDS - PROFESSIONAL CORPORATION
BRIDGEPORT, WV 26330
BRIDGEPORT, WV 26330
33aNPI1881288058assigned 02/27/2021
33bProvider typeDental Clinic/Center
28Total paid$7K
24GClaims215
24DCodes billed5
24AFirst – last monthJan 2024 – Oct 2024
Compared with peers
Next to other Dental Clinic/Center providers in West Virginia
Rank by total paid#15 of 20
Median peer was paid$16K
This provider vs. median0.4×
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 | 215 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 37% | 47 | 42 | $3K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 31% | 83 | 82 | $2K |
| D1206 | Topical application of fluoride varnish | 18% | 56 | 56 | $1K |
| D0274 | Bitewings - four radiographic images | 7.2% | 13 | 13 | $488.40 |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.8% | 16 | 12 | $462.00 |
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.
From NPPES
Who's on the registration
Authorized officialJETTE, SAMANTHA (PRESIDENT)