Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidMichael Sanzari
    Ask Trek AI about this page

    Michael Sanzari — Billing Profile & Reimbursement Data

    NPI 1508078569 · Apo, AE · Orthodontics and Dentofacial Orthopedics Dentistry

    Customize your policy alerts

    Sign up for Michael Sanzari — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Michael Sanzari is a orthodontics and dentofacial orthopedics dentistry provider located in Apo, Armed Forces Europe. This profile covers 0 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services. Note: "AE" is a US military postal designation for Armed Forces stationed in Europe, the Middle East, Africa, or Canada — not a traditional US state; claims coded under it are grouped and benchmarked here the same way a traditional state would be.

    Table of contents

    Progress1 / 9

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationMichael Sanzari
    AddressUnit 33100
    CityApo
    StateAE (Armed Forces Europe)
    ZIP09180
    TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
    NPI EnumeratedMay 3, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$43.9K
    Medicare$0

    Key Findings

    This provider has no Medicare billing on file and therefore generates its reported public revenue solely through Medicaid; lifetime Medicaid revenue on file is $43.9K. The absence of Medicare activity indicates the provider is effectively single-payer (Medicaid)-dependent in the available claims data rather than operating across both Medicare and Medicaid segments.

    Medicaid revenue is highly concentrated: the precomputed top-3 Medicaid codes account for 100.0% of the provider's Medicaid revenue, and in fact a single code, D8670, represents the entire $43.9K. The D8670 line shows 173 claims with an $254 avg paid/claim, making the provider’s Medicaid financial profile narrowly focused on that single CPT/HCPCS code.

    Top-code context is limited by data: the file lists D8670 with "no description available," so code-level interpretation is constrained in the dataset. Combined with the provider taxonomy (Orthodontics and Dentofacial Orthopedics Dentistry), the pattern is consistent with a practice centered on orthodontic or dental appliance services, but the missing code description prevents a definitive mapping of the billed procedure to a specific service line.

    Competitive standing on the reported Medicaid activity is ambiguous: D8670 is listed as #1 of 1 providers in-state and shown at the 0th percentile with "no state peer volume comparison available." That ranking indicates the dataset contains no meaningful in-state peer volume for direct comparison, so the provider should not be interpreted as a market leader or outlier based solely on rank.

    Operational scale and reimbursement profile are modest: 173 Medicaid claims at an $254 avg paid/claim result in the $43.9K total, indicating limited Medicaid claim volume rather than high-frequency or high-value billing. For analysts, the per-claim reimbursement ($254) provides a concrete unit metric to benchmark if peer data for D8670 or similar codes is later obtained.

    The provider has long tenure in the enrollment file, with NPI enumeration dated 2007-05-03 (~19 years ago), which suggests sustained provider presence despite the narrow payer and code mix reported. Longevity in the registry may reflect an established practice or sustained licensure even if current public billing activity appears limited.

    From a risk and strategic perspective, the provider’s Medicaid revenue concentration in a single code creates revenue vulnerability: changes in Medicaid coverage, coding guidance, or reimbursement for D8670 could materially affect total reported revenue. The complete lack of Medicare billing also means there is little payer diversification in the available data, a relevant consideration for payers and partners assessing financial resilience and referral potential.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D8670N/A170$250$43.9K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Armed Forces Europe providers billing the same CPT/HCPCS codes. Note: "AE" is a US military postal designation for Armed Forces stationed in Europe, the Middle East, Africa, or Canada — not a traditional US state; claims coded under it are benchmarked here as their own state-equivalent group.

    Full comparison — all codes billed, vs. Armed Forces Europe median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D8670N/A110170$250$43.9K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Michael Sanzari, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Dental Health Associates PANJGeneral Practice Dentistry$0$42.3M

    Nearby Providers

    Other providers in the same ZIP code as Michael Sanzari, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jude MomoduAE (Armed Forces Europe)Family Medicine Physician$42.8K$86.6K
    Matthew BriceAE (Armed Forces Europe)Emergency Medicine Physician$60.1K$0
    Steve LouvetAE (Armed Forces Europe)Emergency Medicine Physician$11.6K$40.3K
    Katherine CooperAE (Armed Forces Europe)Occupational Therapist$48.9K$0
    Eric DahlAE (Armed Forces Europe)General Practice Physician$44.8K$0
    Washeema JonesAE (Armed Forces Europe)Acute Care Nurse Practitioner$29.6K$0
    Gregory PhillipsAE (Armed Forces Europe)Neurology Physician$22.7K$0
    Nicole FeeAE (Armed Forces Europe)Optometrist$15.4K$3.5K
    Carlina MadelaireAE (Armed Forces Europe)Anatomic Pathology & Clinical Pathology Physician$12.6K$0
    Chelsey KoehlerAE (Armed Forces Europe)Physical Therapist$10.9K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Armed Forces Europe Providers
    1 of 3 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Armed Forces Europe Distribution
    Michael Sanzari — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Armed Forces Europe