Demianczyk, Derek

Demianczyk, Derek was paid $44K by Medicaid between Oct 2020 and Jun 2021, across 12 billing codes. Its largest line is D0120, dental checkup, returning patient — 21% of everything it billed.

33Billing provider infoDEMIANCZYK, DEREK
KING OF PRUSSIA, PA 19406

33aNPI1043655335assigned 05/01/2013

33bProvider typeDentist

28Total paid$44K

24GClaims2,339

24DCodes billed12

24AFirst – last monthOct 2020 – Jun 2021

Compared with peers

Next to other Dentist providers in Pennsylvania

Rank by total paid#319 of 683

Median peer was paid$34K

This provider vs. median1.3×

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
2020	604	$13K
2021	1,735	$31K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	21%	450	413	$9K
D1206	Topical application of fluoride varnish	20%	470	430	$9K
D1120	Dental cleaning, childProphylaxis - child	17%	308	276	$8K
D1110	Prophylaxis - adult	14%	175	164	$6K
D0603		6.4%	280	248	$3K
D0272	Bitewings - two radiographic images	5.8%	150	132	$3K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	5.0%	60	58	$2K
D1330		4.0%	353	314	$2K
D0274	Bitewings - four radiographic images	3.3%	50	50	$1K
D2150	Silver amalgam - two surfaces, primary or permanent	2.4%	18	12	$1K
D0150	Comprehensive oral evaluation - new or established patient	<1%	13	13	$280.62
D0220	Intraoral - periapical first radiographic image	<1%	12	12	$104.88

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.