Dental
Kowalski, Thomas
Kowalski, Thomas was paid $19K by Medicaid between Nov 2020 and Oct 2024, across 5 billing codes. Its largest line is D9920, — 61% of everything it billed.
33Billing provider infoKOWALSKI, THOMAS
BENTON, PA 17814
BENTON, PA 17814
33aNPI1396815312assigned 11/08/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$19K
24GClaims492
24DCodes billed5
24AFirst – last monthNov 2020 – Oct 2024
Compared with peers
Next to other General Practice Dentistry providers in Pennsylvania
Rank by total paid#504 of 847
Median peer was paid$37K
This provider vs. median0.5×
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 | 13 | $260.00 | |
| 2021 | 98 | $3K | |
| 2024incomplete | 381 | $16K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D9920 | 61% | 93 | 90 | $11K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 160 | 159 | $3K |
| D1110 | Prophylaxis - adult | 13% | 69 | 69 | $2K |
| D1330 | 4.6% | 86 | 85 | $856.47 | |
| D1310 | 4.4% | 84 | 83 | $820.03 |
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.