Pelkey, Sam

Pelkey, Sam was paid $2K by Medicaid between May 2018 and Apr 2019, across 2 billing codes. Its largest line is D2391, Resin-based composite - one surface, posterior, primary or permanent — 84% of everything it billed.

33Billing provider infoPELKEY, SAM
GROVE CITY, OH 43123

33aNPI1952714677assigned 06/10/2014

33bProvider typeGeneral Practice Dentistry

28Total paid$2K

24GClaims45

24DCodes billed2

24AFirst – last monthMay 2018 – Apr 2019

Compared with peers

Next to other General Practice Dentistry providers in Ohio

Rank by total paid#723 of 870

Median peer was paid$40K

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	12	$289.85
2019	33	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D2391	Resin-based composite - one surface, posterior, primary or permanent	84%	33	12	$2K
D0150	Comprehensive oral evaluation - new or established patient	16%	12	12	$289.85

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.