Ted C. Kawulok D.D.S., P.C.

Ted C. Kawulok D.D.S., P.C. was paid $4K by Medicaid between Oct 2019 and Feb 2020, across 3 billing codes. Its largest line is D1110, Prophylaxis - adult — 61% of everything it billed.

33Billing provider infoTED C. KAWULOK D.D.S., P.C.
BOULDER, CO 80303

33aNPI1669850608assigned 05/11/2015

33bProvider typeDentist

28Total paid$4K

24GClaims66

24DCodes billed3

24AFirst – last monthOct 2019 – Feb 2020

Compared with peers

Next to other Dentist providers in Colorado

Rank by total paid#276 of 344

Median peer was paid$45K

This provider vs. median0.1×

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
2019	26	$2K
2020	40	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	61%	28	27	$2K
D1206	Topical application of fluoride varnish	24%	26	25	$884.25
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	15%	12	12	$546.84

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.

From NPPES

Who's on the registration

Authorized officialKAWULOK, TED (OWNER)