Pivonka, Timothy

Pivonka, Timothy was paid $16K by Medicaid between Oct 2018 and Oct 2020, across 6 billing codes. Its largest line is D1208, Topical application of fluoride, excluding varnish — 41% of everything it billed.

33Billing provider infoPIVONKA, TIMOTHY
JUNCTION CITY, KS 66441

33aNPI1609842061assigned 02/27/2006

33bProvider typeDentist

28Total paid$16K

24GClaims325

24DCodes billed6

24AFirst – last monthOct 2018 – Oct 2020

Compared with peers

Next to other Dentist providers in Kansas

Rank by total paid#73 of 112

Median peer was paid$52K

This provider vs. median0.3×

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	309	$14K
2020	16	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1208	Topical application of fluoride, excluding varnish	41%	54	49	$6K
D1206	Topical application of fluoride varnish	30%	77	69	$5K
D1351	Sealant - per tooth	19%	79	18	$3K
D1120	Dental cleaning, childProphylaxis - child	8.2%	25	20	$1K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	2.3%	27	25	$365.04
D1354		0%	63	13	$0.00

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.