Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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NP / PA

Samuel Bobek PLLC

Samuel Bobek PLLC was paid $1.12M by Medicaid between Jul 2020 and Jun 2023, across 18 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 44% of everything it billed.

33Billing provider infoSAMUEL BOBEK PLLC
SEATTLE, WA 98122
33aNPI1841833431assigned 10/25/2019
28Total paid$1.12M
24GClaims15,408
24DCodes billed18
24AFirst – last monthJul 2020 – Jun 2023
Box 24A · Dates of service

Paid by month

$0$50K$100K2018201920202021202220232024
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
YearClaimsPaid
20201,079$73K
20217,565$440K
20224,678$411K
20232,086$194K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 44% 5,576 763 $487K
D7240 Removal of impacted tooth - completely bony 21% 1,569 520 $234K
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 8.4% 1,633 941 $94K
D9222 4.6% 1,179 964 $52K
D7310 4.5% 291 89 $50K
D9610 3.2% 868 787 $36K
D0140 Limited oral evaluation - problem focused 3.2% 1,617 1,420 $36K
D7140 Extraction, erupted tooth or exposed root 2.6% 688 143 $30K
D0330 Panoramic radiographic image 2.6% 805 756 $29K
D7250 2.3% 236 46 $26K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1.7% 189 176 $19K
D9243 <1% 137 90 $6K
6 more codes
D0340 <1% 144 $6K
99203 Doctor's office visit, new patient (routine) <1% 64 $5K
D9239 <1% 103 $4K
D7220 <1% 21 $2K
D0150 Comprehensive oral evaluation - new or established patient <1% 58 $1K
D9310 0% 230 $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.

From NPPES

Who's on the registration

Authorized officialBOBEK, SAMUEL (OWNER)