Dental
Fomich, Michael
Fomich, Michael was paid $134K by Medicaid between Jan 2018 and Jun 2023, across 14 billing codes. Its largest line is D1110, Prophylaxis - adult — 29% of everything it billed.
33Billing provider infoFOMICH, MICHAEL
LOUISVILLE, OH 44641
LOUISVILLE, OH 44641
33aNPI1619043239assigned 11/27/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$134K
24GClaims6,832
24DCodes billed14
24AFirst – last monthJan 2018 – Jun 2023
Compared with peers
Next to other General Practice Dentistry providers in Ohio
Rank by total paid#281 of 870
Median peer was paid$40K
This provider vs. median3.3×
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 | 1,300 | $25K | |
| 2019 | 1,127 | $21K | |
| 2020 | 1,188 | $22K | |
| 2021 | 2,088 | $43K | |
| 2022 | 1,093 | $23K | |
| 2023 | 36 | $581.16 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 29% | 1,244 | 1,204 | $38K |
| D0150 | Comprehensive oral evaluation - new or established patient | 14% | 731 | 713 | $18K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 1,089 | 1,058 | $17K |
| D0140 | Limited oral evaluation - problem focused | 11% | 754 | 693 | $15K |
| D0330 | Panoramic radiographic image | 9.3% | 385 | 372 | $12K |
| D0274 | Bitewings - four radiographic images | 5.9% | 511 | 490 | $8K |
| D1208 | Topical application of fluoride, excluding varnish | 4.8% | 442 | 435 | $6K |
| D0210 | Intraoral - complete series of radiographic images | 3.9% | 172 | 144 | $5K |
| D1320 | 3.0% | 273 | 264 | $4K | |
| D1120 | Dental cleaning, childProphylaxis - child | 2.9% | 205 | 202 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 2.5% | 791 | 736 | $3K |
| D0272 | Bitewings - two radiographic images | 1.4% | 201 | 196 | $2K |
2 more codes
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.