Dovorany, John

Dovorany, John was paid $17K by Medicaid between Jan 2018 and Aug 2018, across 6 billing codes. Its largest line is D1120, dental cleaning, child — 35% of everything it billed.

33Billing provider infoDOVORANY, JOHN
SHAWANO, WI 54166

33aNPI1740343086assigned 12/18/2006

33bProvider typeDentist

28Total paid$17K

24GClaims919

24DCodes billed6

24AFirst – last monthJan 2018 – Aug 2018

Compared with peers

Next to other Dentist providers in Wisconsin

Rank by total paid#111 of 185

Median peer was paid$28K

This provider vs. median0.6×

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	919	$17K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	35%	257	236	$6K
D1208	Topical application of fluoride, excluding varnish	24%	292	270	$4K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	23%	255	252	$4K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	10%	25	13	$2K
D0272	Bitewings - two radiographic images	6.0%	78	75	$1K
D0330	Panoramic radiographic image	2.2%	12	12	$364.05

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.