Potocsky, Kevin

Potocsky, Kevin was paid $1K by Medicaid between Oct 2018 and Jun 2019, across 3 billing codes. Its largest line is D0120, dental checkup, returning patient — 48% of everything it billed.

33Billing provider infoPOTOCSKY, KEVIN
ALLEN PARK, MI 48101

33aNPI1316961329assigned 07/26/2006

33bProvider typeDentist

28Total paid$1K

24GClaims53

24DCodes billed3

24AFirst – last monthOct 2018 – Jun 2019

Compared with peers

Next to other Dentist providers in Michigan

Rank by total paid#862 of 1,033

Median peer was paid$15K

This provider vs. median0.1×

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
2018	26	$498.60
2019	27	$759.00

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	48%	28	28	$606.60
D1120	Dental cleaning, childProphylaxis - child	36%	13	13	$451.00
D1208	Topical application of fluoride, excluding varnish	16%	12	12	$200.00

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.