Samborski, Michael

Samborski, Michael was paid $4K by Medicaid between Jan 2018 and Mar 2021, across 3 billing codes. Its largest line is D1120, dental cleaning, child — 59% of everything it billed.

33Billing provider infoSAMBORSKI, MICHAEL
BURBANK, IL 60459

33aNPI1912985540assigned 01/04/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$4K

24GClaims125

24DCodes billed3

24AFirst – last monthJan 2018 – Mar 2021

Compared with peers

Next to other General Practice Dentistry providers in Illinois

Rank by total paid#911 of 1,017

Median peer was paid$123K

This provider vs. median0.0×

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	52	$2K
2019	25	$616.00
2020	36	$1K
2021	12	$492.00

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	59%	59	50	$2K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	33%	54	53	$1K
D1208	Topical application of fluoride, excluding varnish	7.9%	12	12	$300.85

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.