Dental
Sampson Dentistry INC
Sampson Dentistry INC was paid $132K by Medicaid between Jan 2018 and Aug 2022, across 19 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 18% of everything it billed.
33Billing provider infoSAMPSON DENTISTRY INC
LONDON, OH 43140
LONDON, OH 43140
33aNPI1962788802assigned 10/24/2011
33bProvider typeGeneral Practice Dentistry
28Total paid$132K
24GClaims6,330
24DCodes billed19
24AFirst – last monthJan 2018 – Aug 2022
Compared with peers
Next to other General Practice Dentistry providers in Ohio
Rank by total paid#283 of 870
Median peer was paid$40K
This provider vs. median3.3×
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 | 6,292 | $132K | |
| 2022 | 38 | $135.00 |
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 | 18% | 499 | 212 | $24K |
| D1110 | Prophylaxis - adult | 14% | 600 | 564 | $18K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 12% | 343 | 145 | $16K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 11% | 253 | 138 | $14K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.0% | 701 | 659 | $11K |
| D0274 | Bitewings - four radiographic images | 6.7% | 503 | 470 | $9K |
| D2335 | 4.8% | 67 | 28 | $6K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.7% | 206 | 188 | $5K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.7% | 268 | 250 | $5K |
| D1208 | Topical application of fluoride, excluding varnish | 3.7% | 351 | 328 | $5K |
| D0220 | Intraoral - periapical first radiographic image | 3.4% | 1,016 | 913 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.1% | 905 | 754 | $4K |
7 more codes
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 officialSTANKEY, NICOLE (OFFICE MANAGER)