Sant Amour, Amanda

Sant Amour, Amanda was paid $830K by Medicaid between Jun 2022 and Oct 2023, across 23 billing codes. Its largest line is D9999, Unspecified adjunctive procedure, by report — 95% of everything it billed.

33Billing provider infoSANT AMOUR, AMANDA
WEST BURLINGTON, IA 52655

33aNPI1891364238assigned 06/21/2021

33bProvider typeDentist

28Total paid$830K

24GClaims17,858

24DCodes billed23

24AFirst – last monthJun 2022 – Oct 2023

Compared with peers

Next to other Dentist providers in Iowa

Rank by total paid#22 of 268

Median peer was paid$26K

This provider vs. median31×

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	6,584	$318K
2023	11,274	$513K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D9999	Unspecified adjunctive procedure, by report	95%	3,242	3,077	$793K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	<1%	1,889	1,867	$6K
D1120	Dental cleaning, childProphylaxis - child	<1%	897	889	$6K
D1206	Topical application of fluoride varnish	<1%	2,194	2,176	$5K
D1110	Prophylaxis - adult	<1%	1,020	1,012	$5K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	<1%	179	135	$2K
D0330	Panoramic radiographic image	<1%	324	321	$2K
D0210	Intraoral - complete series of radiographic images	<1%	326	318	$2K
D0274	Bitewings - four radiographic images	<1%	633	631	$2K
D0272	Bitewings - two radiographic images	<1%	318	311	$2K
D2391	Resin-based composite - one surface, posterior, primary or permanent	<1%	183	132	$1K
D0603		<1%	521	518	$1K

11 more codes

D0601		<1%	863	$1K
D0602		<1%	693	$850.00
D0150	Comprehensive oral evaluation - new or established patient	<1%	190	$839.97
D1351	Sealant - per tooth	<1%	373	$793.45
D0220	Intraoral - periapical first radiographic image	<1%	490	$274.09
D0140	Limited oral evaluation - problem focused	<1%	365	$245.43
D7140	Extraction, erupted tooth or exposed root	<1%	167	$47.40
D0230	Intraoral - periapical each additional radiographic image	<1%	194	$30.13
D4910		<1%	335	$3.17
D1310		0%	183	$0.00
D1330		0%	2,279	$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.