Dental
Abettan, Sam
Abettan, Sam was paid $51K by Medicaid between Jun 2019 and Oct 2022, across 10 billing codes. Its largest line is D1120, dental cleaning, child — 39% of everything it billed.
33Billing provider infoABETTAN, SAM
WEST HEMPSTEAD, NY 11552
WEST HEMPSTEAD, NY 11552
33aNPI1720517600assigned 06/05/2017
33bProvider typePediatric Dentist
28Total paid$51K
24GClaims1,823
24DCodes billed10
24AFirst – last monthJun 2019 – Oct 2022
Compared with peers
Next to other Pediatric Dentist providers in New York
Rank by total paid#351 of 514
Median peer was paid$196K
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 | |
|---|---|---|---|
| 2019 | 654 | $17K | |
| 2020 | 269 | $8K | |
| 2021 | 329 | $9K | |
| 2022 | 571 | $16K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 39% | 472 | 472 | $20K |
| D1206 | Topical application of fluoride varnish | 29% | 514 | 514 | $15K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 22% | 446 | 446 | $11K |
| D0272 | Bitewings - two radiographic images | 4.6% | 180 | 180 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.9% | 39 | 39 | $975.00 |
| D0603 | 1.2% | 63 | 63 | $620.00 | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 16 | 13 | $400.00 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 56 | 56 | $280.00 |
| D0601 | <1% | 25 | 25 | $250.00 | |
| D0602 | <1% | 12 | 12 | $120.00 |
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.