Dental
David M Kolakowski DDS PC
David M Kolakowski DDS PC was paid $7K by Medicaid between Aug 2020 and Jul 2023, across 4 billing codes. Its largest line is D0120, dental checkup, returning patient — 52% of everything it billed.
33Billing provider infoDAVID M KOLAKOWSKI DDS PC
MACOMB, MI 48044
MACOMB, MI 48044
33aNPI1114545795assigned 07/09/2020
33bProvider typeGeneral Practice Dentistry
28Total paid$7K
24GClaims316
24DCodes billed4
24AFirst – last monthAug 2020 – Jul 2023
Compared with peers
Next to other General Practice Dentistry providers in Michigan
Rank by total paid#920 of 1,554
Median peer was paid$15K
This provider vs. median0.5×
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 | 53 | $1K | |
| 2021 | 100 | $2K | |
| 2022 | 107 | $2K | |
| 2023 | 56 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 52% | 171 | 171 | $4K |
| D1208 | Topical application of fluoride, excluding varnish | 28% | 107 | 107 | $2K |
| D1110 | Prophylaxis - adult | 14% | 25 | 25 | $955.81 |
| D1120 | Dental cleaning, childProphylaxis - child | 6.0% | 13 | 13 | $410.00 |
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.
From NPPES
Who's on the registration
Authorized officialKOLAKOWSKI, DAVID (PRESIDENT, DENTIST)