Kowalczyk, Stephen

Kowalczyk, Stephen was paid $2K by Medicaid between Jun 2020 and Mar 2024, across 3 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 42% of everything it billed.

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	13	$326.90
2021	44	$1K
2023	15	$302.47
2024incomplete	14	$264.77

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1206	Topical application of fluoride varnish	42%	45	41	$981.94
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	33%	28	27	$758.80
D1120	Dental cleaning, childProphylaxis - child	25%	13	13	$586.04

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.