Andryc, Kenneth

Andryc, Kenneth was paid $154K by Medicaid between Jan 2020 and Dec 2024, across 12 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 22% of everything it billed.

33Billing provider infoANDRYC, KENNETH
FAIRVIEW, PA 16415

33aNPI1598754921assigned 10/18/2005

33bProvider typeGeneral Practice Dentistry

28Total paid$154K

24GClaims4,357

24DCodes billed12

24AFirst – last monthJan 2020 – Dec 2024

Compared with peers

Next to other General Practice Dentistry providers in Pennsylvania

Rank by total paid#204 of 847

Median peer was paid$37K

This provider vs. median4.2×

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	30	$628.44
2021	1,048	$28K
2024incomplete	3,279	$125K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	22%	412	209	$33K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	16%	1,050	1,049	$25K
D1120	Dental cleaning, childProphylaxis - child	14%	604	603	$21K
D1110	Prophylaxis - adult	13%	475	475	$20K
D2391	Resin-based composite - one surface, posterior, primary or permanent	13%	308	166	$19K
D1208	Topical application of fluoride, excluding varnish	11%	836	835	$18K
D0274	Bitewings - four radiographic images	4.4%	207	207	$7K
D1351	Sealant - per tooth	3.6%	222	46	$6K
D0272	Bitewings - two radiographic images	1.6%	119	119	$2K
D7140	Extraction, erupted tooth or exposed root	1.1%	27	13	$2K
D0150	Comprehensive oral evaluation - new or established patient	<1%	49	49	$945.00
D0220	Intraoral - periapical first radiographic image	<1%	48	46	$419.50

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.