Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Prondecki, John

Prondecki, John was paid $129K by Medicaid between Jan 2018 and Mar 2020, across 14 billing codes. Its largest line is D1110, Prophylaxis - adult — 37% of everything it billed.

33Billing provider infoPRONDECKI, JOHN
PLATTSBURGH, NY 12901
33aNPI1528171063assigned 08/17/2006
33bProvider typeDentist
28Total paid$129K
24GClaims2,605
24DCodes billed14
24AFirst – last monthJan 2018 – Mar 2020
Compared with peers

Next to other Dentist providers in New York

Rank by total paid#558 of 1,649
Median peer was paid$49K
This provider vs. median2.6×

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

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
20181,061$49K
20191,187$65K
2020357$14K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1110 Prophylaxis - adult 37% 872 870 $48K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 13% 109 105 $17K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 11% 527 527 $15K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 7.0% 58 56 $9K
D0210 Intraoral - complete series of radiographic images 6.8% 199 198 $9K
D0150 Comprehensive oral evaluation - new or established patient 5.2% 238 238 $7K
D2391 Resin-based composite - one surface, posterior, primary or permanent 4.6% 41 40 $6K
D0274 Bitewings - four radiographic images 4.0% 181 181 $5K
D2335 3.6% 17 14 $5K
D0220 Intraoral - periapical first radiographic image 3.3% 307 295 $4K
D2394 1.9% 14 14 $2K
D2332 1.5% 13 13 $2K
2 more codes
D0140 Limited oral evaluation - problem focused <1% 16 $168.00
D0230 Intraoral - periapical each additional radiographic image <1% 13 $105.00

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.