Kozicki, Thomas

Kozicki, Thomas was paid $33K by Medicaid between Jan 2018 and Apr 2022, across 10 billing codes. Its largest line is D1110, Prophylaxis - adult — 27% of everything it billed.

33Billing provider infoKOZICKI, THOMAS
CENTERBURG, OH 43011

33aNPI1740276104assigned 09/21/2005

33bProvider typeGeneral Practice Dentistry

28Total paid$33K

24GClaims1,588

24DCodes billed10

24AFirst – last monthJan 2018 – Apr 2022

Compared with peers

Next to other General Practice Dentistry providers in Ohio

Rank by total paid#474 of 870

Median peer was paid$40K

This provider vs. median0.8×

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	617	$13K
2019	428	$9K
2020	192	$3K
2021	308	$6K
2022	43	$983.96

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	27%	280	260	$9K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	27%	569	516	$9K
D0274	Bitewings - four radiographic images	23%	418	389	$8K
D2391	Resin-based composite - one surface, posterior, primary or permanent	7.1%	48	38	$2K
D2150	Silver amalgam - two surfaces, primary or permanent	4.6%	28	24	$2K
D0330	Panoramic radiographic image	3.6%	31	26	$1K
D1206	Topical application of fluoride varnish	2.6%	60	55	$882.00
D0140	Limited oral evaluation - problem focused	2.5%	36	30	$820.85
D0220	Intraoral - periapical first radiographic image	1.5%	102	84	$490.50
D0150	Comprehensive oral evaluation - new or established patient	1.1%	16	14	$359.71

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.