Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › PA › SCOTTDALE › GRETZ-ZAMBRUNO, KIMBERLY

GRETZ-ZAMBRUNO, KIMBERLY

NPI: 1164574349 · SCOTTDALE, PA 15683 · Dentist · NPI assigned 01/17/2007

$10K
Total Medicaid Paid
418
Total Claims
388
Beneficiaries
7
Codes Billed
2020-12
First Month
2021-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 33 $812.00
2021 385 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 190 189 $4K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 44 18 $3K
D1110 Prophylaxis - adult 66 66 $2K
D0220 Intraoral - periapical first radiographic image 78 75 $528.00
D1120 Prophylaxis - child 14 14 $420.00
D0330 Panoramic radiographic image 13 13 $407.00
D0150 Comprehensive oral evaluation - new or established patient 13 13 $260.00