Dolata, Andrzej

Dolata, Andrzej was paid $107K by Medicaid between Jan 2018 and Oct 2023, across 17 billing codes. Its largest line is D2740, Crown - porcelain/ceramic — 26% of everything it billed.

33Billing provider infoDOLATA, ANDRZEJ
REDFORD, MI 48240

33aNPI1679581912assigned 08/03/2006

33bProvider typeDentist

28Total paid$107K

24GClaims2,251

24DCodes billed17

24AFirst – last monthJan 2018 – Oct 2023

Compared with peers

Next to other Dentist providers in Michigan

Rank by total paid#260 of 1,033

Median peer was paid$15K

This provider vs. median7.1×

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
2018	296	$10K
2019	407	$12K
2020	206	$3K
2021	440	$6K
2022	277	$4K
2023	625	$72K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D2740	Crown - porcelain/ceramic	26%	37	14	$28K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	16%	785	783	$18K
D4341		16%	107	32	$17K
D2950		7.0%	40	16	$7K
D1110	Prophylaxis - adult	6.5%	169	169	$7K
D0210	Intraoral - complete series of radiographic images	6.5%	110	110	$7K
D0150	Comprehensive oral evaluation - new or established patient	5.1%	144	144	$5K
D1120	Dental cleaning, childProphylaxis - child	2.6%	70	70	$3K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	2.6%	29	12	$3K
D1208	Topical application of fluoride, excluding varnish	2.3%	103	103	$2K
D4355		2.3%	38	37	$2K
D1351	Sealant - per tooth	1.7%	68	12	$2K

5 more codes

D7140	Extraction, erupted tooth or exposed root	1.6%	19	$2K
D0274	Bitewings - four radiographic images	1.3%	51	$1K
D2391	Resin-based composite - one surface, posterior, primary or permanent	1.3%	24	$1K
D0220	Intraoral - periapical first radiographic image	<1%	53	$578.67
D1999		0%	404	$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.