Wisniewski, Philip

Wisniewski, Philip was paid $21K by Medicaid between Feb 2018 and Aug 2021, across 9 billing codes. Its largest line is D1110, Prophylaxis - adult — 29% of everything it billed.

33Billing provider infoWISNIEWSKI, PHILIP
HOLLAND, MI 49424

33aNPI1386788610assigned 02/19/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$21K

24GClaims757

24DCodes billed9

24AFirst – last monthFeb 2018 – Aug 2021

Compared with peers

Next to other General Practice Dentistry providers in Michigan

Rank by total paid#689 of 1,554

Median peer was paid$15K

This provider vs. median1.4×

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	80	$2K
2019	98	$2K
2020	304	$9K
2021	275	$7K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	29%	128	128	$6K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	23%	196	196	$5K
D0210	Intraoral - complete series of radiographic images	13%	56	56	$3K
D0150	Comprehensive oral evaluation - new or established patient	12%	73	73	$2K
D1206	Topical application of fluoride varnish	9.2%	121	121	$2K
D0220	Intraoral - periapical first radiographic image	7.7%	130	112	$2K
D0274	Bitewings - four radiographic images	3.3%	24	24	$685.00
D1120	Dental cleaning, childProphylaxis - child	2.9%	17	17	$600.00
D0431		0%	12	12	$0.00

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.