Samoylovich, Esfir

Samoylovich, Esfir was paid $37K by Medicaid between Jan 2018 and Mar 2020, across 8 billing codes. Its largest line is D0120, dental checkup, returning patient — 35% of everything it billed.

33Billing provider infoSAMOYLOVICH, ESFIR
OLD BRIDGE, NJ 05857

33aNPI1770574089assigned 11/04/2005

33bProvider typeDentist

28Total paid$37K

24GClaims3,030

24DCodes billed8

24AFirst – last monthJan 2018 – Mar 2020

Compared with peers

Next to other Dentist providers in New Jersey

Rank by total paid#305 of 674

Median peer was paid$27K

This provider vs. median1.4×

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	1,728	$19K
2019	1,166	$16K
2020	136	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	35%	629	628	$13K
D1110	Prophylaxis - adult	32%	503	502	$12K
D0230	Intraoral - periapical each additional radiographic image	13%	716	706	$5K
D0220	Intraoral - periapical first radiographic image	8.6%	785	765	$3K
D0274	Bitewings - four radiographic images	6.2%	252	251	$2K
D0140	Limited oral evaluation - problem focused	3.0%	54	53	$1K
D1208	Topical application of fluoride, excluding varnish	2.3%	79	79	$863.50
D0150	Comprehensive oral evaluation - new or established patient	<1%	12	12	$240.00

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.