Dental
Drozdz, Rafal
Drozdz, Rafal was paid $270.00 by Medicaid between Nov 2020 and Jun 2021, across 13 billing codes. Its largest line is D1110, Prophylaxis - adult — 31% of everything it billed.
33Billing provider infoDROZDZ, RAFAL
TULARE, CA 93274
TULARE, CA 93274
33aNPI1770998569assigned 06/30/2014
33bProvider typeDentist
28Total paid$270.00
24GClaims1,289
24DCodes billed13
24AFirst – last monthNov 2020 – Jun 2021
Compared with peers
Next to other Dentist providers in California
Rank by total paid#2,235 of 2,314
Median peer was paid$185K
This provider vs. median0.0×
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
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 | |
|---|---|---|---|
| 2020 | 385 | $0.00 | |
| 2021 | 904 | $270.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 31% | 125 | 123 | $85.00 |
| D0210 | Intraoral - complete series of radiographic images | 19% | 168 | 158 | $50.00 |
| D1206 | Topical application of fluoride varnish | 19% | 179 | 178 | $50.00 |
| D9430 | 15% | 128 | 121 | $40.00 | |
| D0220 | Intraoral - periapical first radiographic image | 9.3% | 180 | 125 | $25.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.4% | 190 | 179 | $20.00 |
| D7140 | Extraction, erupted tooth or exposed root | 0% | 31 | 24 | $0.00 |
| D0603 | 0% | 182 | 173 | $0.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 13 | 12 | $0.00 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 15 | 15 | $0.00 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 48 | 40 | $0.00 |
| D1120 | Dental cleaning, childProphylaxis - child | 0% | 17 | 17 | $0.00 |
1 more codes
| D0270 | 0% | 13 | $0.00 |
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.