Dental
Gavlak, Jolene
Gavlak, Jolene was paid $16K by Medicaid between Apr 2021 and Apr 2024, across 6 billing codes. Its largest line is D1110, Prophylaxis - adult — 52% of everything it billed.
33Billing provider infoGAVLAK, JOLENE
PHILIPSBURG, PA 16866
PHILIPSBURG, PA 16866
33aNPI1629193743assigned 03/20/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$16K
24GClaims706
24DCodes billed6
24AFirst – last monthApr 2021 – Apr 2024
Compared with peers
Next to other General Practice Dentistry providers in Pennsylvania
Rank by total paid#529 of 847
Median peer was paid$37K
This provider vs. median0.4×
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 | |
|---|---|---|---|
| 2021 | 440 | $10K | |
| 2024incomplete | 266 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 52% | 250 | 249 | $8K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 31% | 264 | 263 | $5K |
| D0272 | Bitewings - two radiographic images | 11% | 116 | 115 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 3.3% | 31 | 30 | $524.16 |
| D0220 | Intraoral - periapical first radiographic image | 1.5% | 33 | 33 | $235.35 |
| D0230 | Intraoral - periapical each additional radiographic image | 1.2% | 12 | 12 | $183.35 |
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.