Samples, Stuart

Samples, Stuart was paid $336K by Medicaid between Jan 2018 and Jun 2020, across 15 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 30% of everything it billed.

33Billing provider infoSAMPLES, STUART
CHILLICOTHE, MO 64601

33aNPI1912098179assigned 09/27/2006

33bProvider typeDentist

28Total paid$336K

24GClaims6,280

24DCodes billed15

24AFirst – last monthJan 2018 – Jun 2020

Compared with peers

Next to other Dentist providers in Missouri

Rank by total paid#77 of 284

Median peer was paid$109K

This provider vs. median3.1×

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	2,586	$165K
2019	3,192	$146K
2020	502	$25K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	30%	654	393	$102K
D1120	Dental cleaning, childProphylaxis - child	13%	932	928	$43K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	13%	1,176	1,157	$42K
D1110	Prophylaxis - adult	8.4%	474	462	$28K
D2391	Resin-based composite - one surface, posterior, primary or permanent	6.3%	167	108	$21K
D1208	Topical application of fluoride, excluding varnish	5.9%	639	623	$20K
D0274	Bitewings - four radiographic images	5.6%	404	402	$19K
D1206	Topical application of fluoride varnish	4.8%	713	713	$16K
D0272	Bitewings - two radiographic images	3.5%	352	350	$12K
D0150	Comprehensive oral evaluation - new or established patient	3.2%	189	189	$11K
D0330	Panoramic radiographic image	2.4%	99	99	$8K
D0140	Limited oral evaluation - problem focused	2.1%	167	164	$7K

3 more codes

D0220	Intraoral - periapical first radiographic image	1.4%	259	$5K
D7140	Extraction, erupted tooth or exposed root	<1%	18	$2K
D0230	Intraoral - periapical each additional radiographic image	<1%	37	$580.00

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.