Szczupakowski, Jacqueline
Szczupakowski, Jacqueline was paid $9K by Medicaid between Aug 2018 and Jan 2023, across 7 billing codes. Its largest line is D1110, Prophylaxis - adult — 84% of everything it billed.
33Billing provider infoSZCZUPAKOWSKI, JACQUELINE
AMHERST, NY 14226
AMHERST, NY 14226
33aNPI1720484165assigned 11/12/2014
33bProvider typeStudent in an Organized Health Care Education/Training Program
28Total paid$9K
24GClaims259
24DCodes billed7
24AFirst – last monthAug 2018 – Jan 2023
Compared with peers
Next to other Student in an Organized Health Care Education/Training Program providers in New York
Rank by total paid#659 of 2,013
Median peer was paid$4K
This provider vs. median2.4×
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 | 25 | $1K | |
| 2019 | 13 | $716.30 | |
| 2022 | 208 | $6K | |
| 2023 | 13 | $716.30 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 84% | 142 | 142 | $7K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.8% | 15 | 15 | $427.50 |
| D0330 | Panoramic radiographic image | 3.8% | 17 | 17 | $342.00 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.4% | 12 | 12 | $303.05 |
| D0274 | Bitewings - four radiographic images | 2.2% | 42 | 42 | $192.85 |
| D1206 | Topical application of fluoride varnish | 1.4% | 18 | 18 | $121.60 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 13 | 13 | $53.20 |
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.