Dental
Szymanski, Jacob
Szymanski, Jacob was paid $50K by Medicaid between Jan 2018 and Jan 2020, across 13 billing codes. Its largest line is D0120, dental checkup, returning patient — 15% of everything it billed.
33Billing provider infoSZYMANSKI, JACOB
WARREN, MI 48093
WARREN, MI 48093
33aNPI1770933913assigned 06/19/2016
33bProvider typeDentist
28Total paid$50K
24GClaims1,720
24DCodes billed13
24AFirst – last monthJan 2018 – Jan 2020
Compared with peers
Next to other Dentist providers in Michigan
Rank by total paid#350 of 1,033
Median peer was paid$15K
This provider vs. median3.3×
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 | 1,694 | $50K | |
| 2019 | 14 | $380.00 | |
| 2020 | 12 | $330.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 294 | 290 | $8K |
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 191 | 191 | $8K |
| D0210 | Intraoral - complete series of radiographic images | 12% | 108 | 107 | $6K |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 159 | 159 | $6K |
| D1110 | Prophylaxis - adult | 11% | 113 | 112 | $6K |
| D1206 | Topical application of fluoride varnish | 9.9% | 207 | 207 | $5K |
| D0220 | Intraoral - periapical first radiographic image | 6.7% | 237 | 232 | $3K |
| D0140 | Limited oral evaluation - problem focused | 6.3% | 97 | 94 | $3K |
| D4355 | 4.2% | 34 | 33 | $2K | |
| D0230 | Intraoral - periapical each additional radiographic image | 2.9% | 214 | 161 | $1K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.3% | 20 | 14 | $1K |
| D0274 | Bitewings - four radiographic images | 1.8% | 27 | 27 | $884.00 |
1 more codes
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 1.7% | 19 | $866.00 |
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.