Dental
Adamczyk, Raymond
Adamczyk, Raymond was paid $89K by Medicaid between Jan 2018 and Dec 2023, across 18 billing codes. Its largest line is D0140, Limited oral evaluation - problem focused — 17% of everything it billed.
33Billing provider infoADAMCZYK, RAYMOND
MOUNT PROSPECT, IL 60056
MOUNT PROSPECT, IL 60056
33aNPI1689733800assigned 12/06/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$89K
24GClaims3,300
24DCodes billed18
24AFirst – last monthJan 2018 – Dec 2023
Compared with peers
Next to other General Practice Dentistry providers in Illinois
Rank by total paid#568 of 1,017
Median peer was paid$123K
This provider vs. median0.7×
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 | 2,564 | $75K | |
| 2019 | 450 | $9K | |
| 2021 | 186 | $3K | |
| 2022 | 64 | $1K | |
| 2023 | 36 | $902.97 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 17% | 405 | 379 | $15K |
| D0330 | Panoramic radiographic image | 13% | 245 | 237 | $12K |
| D0150 | Comprehensive oral evaluation - new or established patient | 9.3% | 264 | 260 | $8K |
| D1110 | Prophylaxis - adult | 7.9% | 251 | 239 | $7K |
| D7140 | Extraction, erupted tooth or exposed root | 7.8% | 64 | 25 | $7K |
| D0210 | Intraoral - complete series of radiographic images | 6.9% | 188 | 181 | $6K |
| D0220 | Intraoral - periapical first radiographic image | 6.4% | 528 | 499 | $6K |
| D4355 | 5.1% | 73 | 64 | $5K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.4% | 41 | 30 | $4K |
| D0274 | Bitewings - four radiographic images | 3.6% | 262 | 259 | $3K |
| D9110 | 2.9% | 32 | 28 | $3K | |
| D0230 | Intraoral - periapical each additional radiographic image | 2.8% | 549 | 357 | $3K |
6 more codes
| D1206 | Topical application of fluoride varnish | 2.7% | 112 | $2K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2.7% | 36 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.5% | 25 | $2K |
| D1120 | Dental cleaning, child | 2.3% | 44 | $2K |
| D0120 | Dental checkup, returning patient | 1.4% | 67 | $1K |
| D0191 | 1.3% | 114 | $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.