Calek, Mary

Calek, Mary was paid $27K by Medicaid between Feb 2018 and Dec 2018, across 6 billing codes. Its largest line is D1120, dental cleaning, child — 39% of everything it billed.

33Billing provider infoCALEK, MARY
TROY, MI 48083

33aNPI1689194227assigned 06/25/2017

33bProvider typePediatric Dentist

28Total paid$27K

24GClaims1,182

24DCodes billed6

24AFirst – last monthFeb 2018 – Dec 2018

Compared with peers

Next to other Pediatric Dentist providers in Michigan

Rank by total paid#128 of 153

Median peer was paid$464K

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
2018	1,182	$27K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	39%	276	276	$10K
D1206	Topical application of fluoride varnish	23%	274	274	$6K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	15%	160	160	$4K
D0230	Intraoral - periapical each additional radiographic image	10%	315	73	$3K
D0220	Intraoral - periapical first radiographic image	8.1%	132	132	$2K
D0150	Comprehensive oral evaluation - new or established patient	4.2%	25	25	$1K

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.