Dental
Benanti, Samuel
Benanti, Samuel was paid $222.00 by Medicaid between May 2022 and May 2022, across 2 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 51% of everything it billed.
33Billing provider infoBENANTI, SAMUEL
TILLAMOOK, OR 97141
TILLAMOOK, OR 97141
33aNPI1972600955assigned 09/20/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$222.00
24GClaims24
24DCodes billed2
24AFirst – last monthMay 2022 – May 2022
Compared with peers
Next to other General Practice Dentistry providers in Oregon
Rank by total paid#263 of 311
Median peer was paid$6K
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 | |
|---|---|---|---|
| 2022 | 24 | $222.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 51% | 12 | 12 | $114.00 |
| D0191 | 49% | 12 | 12 | $108.00 |
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.