Dental
Potyczka, Daryl
Potyczka, Daryl was paid $149K by Medicaid between Mar 2018 and Dec 2024, across 14 billing codes. Its largest line is D0140, Limited oral evaluation - problem focused — 18% of everything it billed.
33Billing provider infoPOTYCZKA, DARYL
CASA GRANDE, AZ 85222
CASA GRANDE, AZ 85222
33aNPI1487791018assigned 01/31/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$149K
24GClaims9,516
24DCodes billed14
24AFirst – last monthMar 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Arizona
Rank by total paid#69 of 530
Median peer was paid$920.17
This provider vs. median162×
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 | 560 | $16K | |
| 2019 | 1,005 | $18K | |
| 2020 | 1,075 | $20K | |
| 2021 | 1,896 | $33K | |
| 2022 | 2,114 | $29K | |
| 2023 | 1,547 | $19K | |
| 2024incomplete | 1,319 | $14K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 18% | 1,425 | 1,285 | $27K |
| D1110 | Prophylaxis - adult | 14% | 792 | 773 | $20K |
| D0220 | Intraoral - periapical first radiographic image | 13% | 2,677 | 2,430 | $19K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 10% | 252 | 124 | $15K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.9% | 983 | 954 | $15K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.8% | 429 | 410 | $12K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 7.7% | 260 | 134 | $11K |
| D0274 | Bitewings - four radiographic images | 6.5% | 592 | 575 | $10K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.9% | 1,191 | 1,039 | $7K |
| D1206 | Topical application of fluoride varnish | 4.8% | 621 | 594 | $7K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.6% | 257 | 246 | $5K |
| D0330 | Panoramic radiographic image | <1% | 12 | 12 | $540.16 |
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.