Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › SC › Rock Hill › NPI 1235524307

Falkovsky, Andrew

Falkovsky, Andrew was paid $80K by Medicaid between Jan 2018 and May 2024, across 11 billing codes. Its largest line is D1110, Prophylaxis - adult — 34% of everything it billed.

33Billing provider infoFALKOVSKY, ANDREW
ROCK HILL, SC 29732
33aNPI1235524307assigned 04/05/2015
28Total paid$80K
24GClaims3,067
24DCodes billed11
24AFirst – last monthJan 2018 – May 2024
Compared with peers

Next to other Student in an Organized Health Care Education/Training Program providers in South Carolina

Rank by total paid#3 of 45
Median peer was paid$2K
This provider vs. median32×

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

$0$2.5K$5.0K$7.5K2018201920202021202220232024
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
YearClaimsPaid
20181,070$30K
2019551$14K
2020346$8K
2021426$12K
2022352$9K
2023235$6K
2024incomplete87$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1110 Prophylaxis - adult 34% 559 559 $27K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 24% 863 862 $19K
D1206 Topical application of fluoride varnish 20% 1,012 1,011 $16K
D0274 Bitewings - four radiographic images 7.9% 236 236 $6K
D1120 Dental cleaning, childProphylaxis - child 5.1% 120 120 $4K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 2.7% 21 12 $2K
D0220 Intraoral - periapical first radiographic image 2.6% 176 175 $2K
D2391 Resin-based composite - one surface, posterior, primary or permanent 1.9% 20 12 $2K
D0150 Comprehensive oral evaluation - new or established patient 1.0% 20 20 $806.60
D0230 Intraoral - periapical each additional radiographic image <1% 27 27 $248.23
D0272 Bitewings - two radiographic images <1% 13 13 $246.22

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.