Nowacki, Kamil

Nowacki, Kamil was paid $8K by Medicaid between Jul 2020 and Nov 2020, across 5 billing codes. Its largest line is D0120, dental checkup, returning patient — 38% of everything it billed.

33Billing provider infoNOWACKI, KAMIL
CRYSTAL LAKE, IL 60012

33aNPI1396304549assigned 06/11/2019

33bProvider typeGeneral Practice Dentistry

28Total paid$8K

24GClaims427

24DCodes billed5

24AFirst – last monthJul 2020 – Nov 2020

Compared with peers

Next to other General Practice Dentistry providers in Illinois

Rank by total paid#847 of 1,017

Median peer was paid$123K

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
2020	427	$8K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	38%	127	91	$3K
D1120	Dental cleaning, childProphylaxis - child	35%	80	50	$3K
D1206	Topical application of fluoride varnish	20%	75	45	$2K
D0220	Intraoral - periapical first radiographic image	4.4%	74	50	$369.60
D0230	Intraoral - periapical each additional radiographic image	3.0%	71	47	$250.80

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.