Dental
Zwetchkenbaum, Samuel
Zwetchkenbaum, Samuel was paid $48K by Medicaid between Nov 2023 and Oct 2024, across 7 billing codes. Its largest line is D7140, Extraction, erupted tooth or exposed root — 54% of everything it billed.
33Billing provider infoZWETCHKENBAUM, SAMUEL
PROVIDENCE, RI 02906
PROVIDENCE, RI 02906
33aNPI1871679415assigned 10/27/2006
33bProvider typeProsthodontist
28Total paid$48K
24GClaims1,425
24DCodes billed7
24AFirst – last monthNov 2023 – Oct 2024
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 | |
|---|---|---|---|
| 2023 | 462 | $14K | |
| 2024incomplete | 963 | $34K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7140 | Extraction, erupted tooth or exposed root | 54% | 584 | 266 | $26K |
| D1206 | Topical application of fluoride varnish | 18% | 248 | 129 | $9K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.5% | 198 | 91 | $4K |
| D0140 | Limited oral evaluation - problem focused | 6.1% | 118 | 61 | $3K |
| D1120 | Dental cleaning, childProphylaxis - child | 5.7% | 65 | 65 | $3K |
| D7111 | 4.5% | 43 | 28 | $2K | |
| D0220 | Intraoral - periapical first radiographic image | 4.2% | 169 | 72 | $2K |
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.