Dental
DR. Gary W. Mancewicz DDS
DR. Gary W. Mancewicz DDS was paid $59K by Medicaid between Jul 2020 and Dec 2024, across 5 billing codes. Its largest line is D0120, dental checkup, returning patient — 36% of everything it billed.
33Billing provider infoDR. GARY W. MANCEWICZ DDS
KENTWOOD, MI 49508
KENTWOOD, MI 49508
33aNPI1346508124assigned 04/30/2012
33bProvider typeGeneral Practice Dentistry
28Total paid$59K
24GClaims2,079
24DCodes billed5
24AFirst – last monthJul 2020 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Michigan
Rank by total paid#473 of 1,554
Median peer was paid$15K
This provider vs. median4.0×
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 | 97 | $3K | |
| 2021 | 516 | $14K | |
| 2022 | 407 | $10K | |
| 2023 | 492 | $15K | |
| 2024incomplete | 567 | $18K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 36% | 859 | 858 | $21K |
| D1120 | Dental cleaning, childProphylaxis - child | 31% | 502 | 502 | $18K |
| D1206 | Topical application of fluoride varnish | 19% | 525 | 524 | $11K |
| D1110 | Prophylaxis - adult | 12% | 143 | 142 | $7K |
| D0274 | Bitewings - four radiographic images | 2.5% | 50 | 50 | $1K |
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 officialMANCEWICZ, GARY (OWNER/DENTIST)