Sack, Matthew

Sack, Matthew was paid $16K by Medicaid between Nov 2018 and Nov 2021, across 9 billing codes. Its largest line is D7140, Extraction, erupted tooth or exposed root — 50% of everything it billed.

33Billing provider infoSACK, MATTHEW
MOUNT PLEASANT, PA 15666

33aNPI1174803142assigned 08/23/2011

33bProvider typeDentist

28Total paid$16K

24GClaims506

24DCodes billed9

24AFirst – last monthNov 2018 – Nov 2021

Compared with peers

Next to other Dentist providers in Pennsylvania

Rank by total paid#417 of 683

Median peer was paid$34K

This provider vs. median0.5×

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	$224.10
2020	105	$2K
2021	389	$14K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D7140	Extraction, erupted tooth or exposed root	50%	125	28	$8K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	12%	103	103	$2K
D0210	Intraoral - complete series of radiographic images	9.7%	43	43	$2K
D0150	Comprehensive oral evaluation - new or established patient	7.9%	66	66	$1K
D1110	Prophylaxis - adult	5.8%	27	27	$947.88
D1120	Dental cleaning, childProphylaxis - child	4.6%	25	25	$761.70
D1206	Topical application of fluoride varnish	3.7%	34	34	$601.20
D1208	Topical application of fluoride, excluding varnish	3.6%	32	32	$597.78
D0220	Intraoral - periapical first radiographic image	2.5%	51	51	$414.44

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.