Dental
Hawrysz, Donald
Hawrysz, Donald was paid $1K by Medicaid between Aug 2019 and Aug 2019, across 3 billing codes. Its largest line is D1120, dental cleaning, child — 45% of everything it billed.
33Billing provider infoHAWRYSZ, DONALD
GREENFIELD, IL 62044
GREENFIELD, IL 62044
33aNPI1437191442assigned 06/12/2006
33bProvider typeDentist
28Total paid$1K
24GClaims43
24DCodes billed3
24AFirst – last monthAug 2019 – Aug 2019
Compared with peers
Next to other Dentist providers in Illinois
Rank by total paid#1,043 of 1,099
Median peer was paid$160K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2019 | 43 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 45% | 15 | 15 | $615.00 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 31% | 15 | 15 | $420.00 |
| D1206 | Topical application of fluoride varnish | 25% | 13 | 13 | $338.00 |
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.