PAWEL R BIELECKI, DDS, PC

NPI: 1386309243 · PUEBLO, CO 81005 · General Practice Dentistry · NPI assigned 11/05/2021

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official HERRERA, MICHAEL controls 12+ related entities in our dataset. Read more

$120K

Total Medicaid Paid

1,340

Total Claims

890

Beneficiaries

Codes Billed

2021-11

First Month

2022-06

Last Month

Provider Details

Authorized Official	HERRERA, MICHAEL (BUSINESS MANAGER)
NPI Enumeration Date	11/05/2021

Other providers sharing the same authorized official: HERRERA, MICHAEL

Provider	City	State	Total Paid
PAWEL R BIELECKI, DDS, PC	PUEBLO	CO	$11.50M
YAH VISION	PUEBLO	CO	$6.95M
SWEET OPTICS LLC	ALAMOSA	CO	$2.49M
PAWEL R BIELECKI, DDS, PC	LA JUNTA	CO	$1.52M
GVR VISION NOW LLC	AURORA	CO	$1.49M
YAH VISION	LA JUNTA	CO	$1.35M
STEEL CITY DENTAL PLLC	PUEBLO	CO	$906K
RODEO VISION ACADEMY LLC	COLORADO SPRINGS	CO	$304K
COMPLETE CARE MEDICINE INC	GILBERT	AZ	$64K
YAH VISION LLC	PUEBLO WEST	CO	$42K
YAH VISION	PUEBLO	CO	$8K
YAH VISION LLC	TRINIDAD	CO	$7K

Year	Claims	Total Paid
2021	179	$16K
2022	1,161	$104K

Code	Description	Claims	Beneficiaries	Total Paid
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	457	231	$60K
D2391	Resin-based composite - one surface, posterior, primary or permanent	214	132	$22K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	130	88	$21K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	393	340	$12K
D3120		110	63	$4K
D1206	Topical application of fluoride varnish	24	24	$402.96
D1120	Prophylaxis - child	12	12	$369.72