Dental
Gretz-Zambruno, Kimberly
Gretz-Zambruno, Kimberly was paid $10K by Medicaid between Dec 2020 and Nov 2021, across 7 billing codes. Its largest line is D0120, dental checkup, returning patient — 36% of everything it billed.
33Billing provider infoGRETZ-ZAMBRUNO, KIMBERLY
SCOTTDALE, PA 15683
SCOTTDALE, PA 15683
33aNPI1164574349assigned 01/17/2007
33bProvider typeDentist
28Total paid$10K
24GClaims418
24DCodes billed7
24AFirst – last monthDec 2020 – Nov 2021
Compared with peers
Next to other Dentist providers in Pennsylvania
Rank by total paid#470 of 683
Median peer was paid$34K
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2020 | 33 | $812.00 | |
| 2021 | 385 | $9K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 36% | 190 | 189 | $4K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 26% | 44 | 18 | $3K |
| D1110 | Prophylaxis - adult | 23% | 66 | 66 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 5.2% | 78 | 75 | $528.00 |
| D1120 | Dental cleaning, childProphylaxis - child | 4.1% | 14 | 14 | $420.00 |
| D0330 | Panoramic radiographic image | 4.0% | 13 | 13 | $407.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.5% | 13 | 13 | $260.00 |
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.