Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NY › Kenmore › NPI 1710071790
Dental

Balcerak, Thomas

Balcerak, Thomas was paid $54K by Medicaid between Feb 2018 and Apr 2022, across 7 billing codes. Its largest line is D1110, Prophylaxis - adult — 58% of everything it billed.

33Billing provider infoBALCERAK, THOMAS
KENMORE, NY 14217
33aNPI1710071790assigned 10/03/2006
28Total paid$54K
24GClaims1,462
24DCodes billed7
24AFirst – last monthFeb 2018 – Apr 2022
Compared with peers

Next to other General Practice Dentistry providers in New York

Rank by total paid#1,087 of 2,184
Median peer was paid$54K
This provider vs. median1.0×

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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
2018295$11K
2019658$24K
2020321$12K
2021176$7K
202212$450.00
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1110 Prophylaxis - adult 58% 604 603 $31K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 23% 464 462 $12K
D0274 Bitewings - four radiographic images 12% 249 249 $6K
D0330 Panoramic radiographic image 4.8% 80 80 $3K
D0150 Comprehensive oral evaluation - new or established patient 2.1% 39 39 $1K
D1208 Topical application of fluoride, excluding varnish <1% 13 13 $172.90
D0220 Intraoral - periapical first radiographic image <1% 13 12 $125.45

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.