Matusak, Annmarie

Matusak, Annmarie was paid $140K by Medicaid between Jan 2018 and Jul 2023, across 18 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 21% of everything it billed.

33Billing provider infoMATUSAK, ANNMARIE
FAIRFIELD, OH 45014

33aNPI1265531636assigned 09/22/2006

33bProvider typePediatric Dentist

28Total paid$140K

24GClaims5,817

24DCodes billed18

24AFirst – last monthJan 2018 – Jul 2023

Compared with peers

Next to other Pediatric Dentist providers in Ohio

Rank by total paid#73 of 144

Median peer was paid$140K

This provider vs. median1.0×

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
2018	409	$7K
2019	52	$1K
2020	3,352	$88K
2021	1,754	$39K
2022	181	$3K
2023	69	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D2930	Prefabricated stainless steel crown - primary tooth	21%	287	81	$30K
D1120	Dental cleaning, childProphylaxis - child	17%	1,093	1,088	$24K
D1206	Topical application of fluoride varnish	15%	1,380	1,374	$21K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	14%	1,111	1,109	$19K
D7140	Extraction, erupted tooth or exposed root	8.0%	196	91	$11K
D0272	Bitewings - two radiographic images	5.1%	688	685	$7K
D1110	Prophylaxis - adult	4.8%	197	196	$7K
D0140	Limited oral evaluation - problem focused	3.1%	187	185	$4K
D2391	Resin-based composite - one surface, posterior, primary or permanent	2.6%	72	42	$4K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	2.3%	60	49	$3K
D0150	Comprehensive oral evaluation - new or established patient	2.3%	122	121	$3K
D1351	Sealant - per tooth	2.2%	142	47	$3K

6 more codes

D0240		<1%	108	$1K
D2150	Silver amalgam - two surfaces, primary or permanent	<1%	19	$1K
D1354		<1%	53	$750.00
D2140		<1%	18	$720.00
D0220	Intraoral - periapical first radiographic image	<1%	70	$382.40
D0274	Bitewings - four radiographic images	<1%	14	$298.90

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.