Dental
Atzmon, Jody
Atzmon, Jody was paid $444K by Medicaid between Jan 2018 and Jun 2020, across 18 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 20% of everything it billed.
33Billing provider infoATZMON, JODY
TECUMSEH, MI 49286
TECUMSEH, MI 49286
33aNPI1538530209assigned 10/07/2015
33bProvider typePediatric Dentist
28Total paid$444K
24GClaims9,203
24DCodes billed18
24AFirst – last monthJan 2018 – Jun 2020
Compared with peers
Next to other Pediatric Dentist providers in Michigan
Rank by total paid#79 of 153
Median peer was paid$464K
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 | 2,251 | $102K | |
| 2019 | 5,642 | $297K | |
| 2020 | 1,310 | $45K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 20% | 458 | 197 | $89K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 14% | 529 | 284 | $64K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 1,369 | 1,369 | $54K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 8.7% | 418 | 253 | $39K |
| D1206 | Topical application of fluoride varnish | 7.2% | 1,187 | 1,187 | $32K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.1% | 469 | 469 | $27K |
| D0140 | Limited oral evaluation - problem focused | 4.9% | 362 | 360 | $22K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.7% | 659 | 658 | $21K |
| D7140 | Extraction, erupted tooth or exposed root | 4.7% | 255 | 155 | $21K |
| D0220 | Intraoral - periapical first radiographic image | 3.8% | 911 | 902 | $17K |
| D0272 | Bitewings - two radiographic images | 3.5% | 634 | 634 | $16K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 3.4% | 129 | 76 | $15K |
6 more codes
| D0230 | Intraoral - periapical each additional radiographic image | 3.2% | 1,092 | $14K |
| D1208 | Topical application of fluoride, excluding varnish | 1.1% | 190 | $5K |
| D0145 | Oral evaluation for a patient under three years of age | 1.1% | 115 | $5K |
| D1354 | <1% | 139 | $4K | |
| D0240 | <1% | 36 | $770.00 | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 0% | 251 | $0.00 |
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.