Dental
Sobieraj, Martin
Sobieraj, Martin was paid $369.20 by Medicaid between Jan 2018 and Sep 2024, across 21 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 52% of everything it billed.
33Billing provider infoSOBIERAJ, MARTIN
SAN LUIS, AZ 85349
SAN LUIS, AZ 85349
33aNPI1851591705assigned 07/19/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$369.20
24GClaims23,724
24DCodes billed21
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other General Practice Dentistry providers in Arizona
Rank by total paid#301 of 530
Median peer was paid$920.17
This provider vs. median0.4×
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 | 14,631 | $321.00 | |
| 2019 | 9,079 | $0.00 | |
| 2024incomplete | 14 | $48.20 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 52% | 2,393 | 915 | $192.00 |
| D0220 | Intraoral - periapical first radiographic image | 16% | 3,048 | 2,690 | $58.20 |
| D1120 | Dental cleaning, childProphylaxis - child | 9.2% | 2,166 | 1,978 | $34.00 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 7.9% | 508 | 443 | $29.00 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.0% | 2,682 | 2,421 | $22.00 |
| D1206 | Topical application of fluoride varnish | 4.1% | 2,751 | 2,481 | $15.00 |
| D0272 | Bitewings - two radiographic images | 3.8% | 1,159 | 1,058 | $14.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 1.4% | 3,208 | 2,086 | $5.00 |
| D0274 | Bitewings - four radiographic images | 0% | 1,370 | 1,223 | $0.00 |
| D1110 | Prophylaxis - adult | 0% | 709 | 636 | $0.00 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 994 | 520 | $0.00 |
| D0330 | Panoramic radiographic image | 0% | 117 | 109 | $0.00 |
9 more codes
| D2930 | Prefabricated stainless steel crown - primary tooth | 0% | 66 | $0.00 |
| D0140 | Limited oral evaluation - problem focused | 0% | 450 | $0.00 |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 0% | 335 | $0.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 209 | $0.00 |
| D1351 | Sealant - per tooth | 0% | 1,068 | $0.00 |
| D0210 | Intraoral - complete series of radiographic images | 0% | 250 | $0.00 |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 0% | 194 | $0.00 |
| D9248 | 0% | 29 | $0.00 | |
| D2330 | 0% | 18 | $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.