Dental
Tatem, Samuel
Tatem, Samuel was paid $13K by Medicaid between Jan 2018 and Jul 2023, across 7 billing codes. Its largest line is D1110, Prophylaxis - adult — 55% of everything it billed.
33Billing provider infoTATEM, SAMUEL
TEANECK, NJ 07666
TEANECK, NJ 07666
33aNPI1881804383assigned 05/23/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$13K
24GClaims582
24DCodes billed7
24AFirst – last monthJan 2018 – Jul 2023
Compared with peers
Next to other General Practice Dentistry providers in New Jersey
Rank by total paid#518 of 790
Median peer was paid$43K
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 | |
|---|---|---|---|
| 2018 | 543 | $12K | |
| 2023 | 39 | $686.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 55% | 158 | 158 | $7K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 76 | 75 | $2K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 10% | 19 | 13 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.0% | 41 | 41 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 5.0% | 133 | 131 | $650.00 |
| D0274 | Bitewings - four radiographic images | 4.2% | 45 | 45 | $540.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 3.0% | 110 | 109 | $384.00 |
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.