Dental
Keith D Nowicki DDS PC
Keith D Nowicki DDS PC was paid $43K by Medicaid between Jul 2022 and May 2024, across 11 billing codes. Its largest line is D1110, Prophylaxis - adult — 34% of everything it billed.
33Billing provider infoKEITH D NOWICKI DDS PC
FRASER, MI 48026
FRASER, MI 48026
33aNPI1851020606assigned 06/07/2022
33bProvider typeGeneral Practice Dentistry
28Total paid$43K
24GClaims841
24DCodes billed11
24AFirst – last monthJul 2022 – May 2024
Compared with peers
Next to other General Practice Dentistry providers in Michigan
Rank by total paid#527 of 1,554
Median peer was paid$15K
This provider vs. median3.0×
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 | |
|---|---|---|---|
| 2022 | 105 | $3K | |
| 2023 | 647 | $37K | |
| 2024incomplete | 89 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 34% | 269 | 269 | $15K |
| D2740 | Crown - porcelain/ceramic | 28% | 15 | 12 | $12K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 10.0% | 152 | 152 | $4K |
| D2950 | 7.4% | 16 | 13 | $3K | |
| D0220 | Intraoral - periapical first radiographic image | 6.8% | 169 | 163 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.4% | 43 | 43 | $2K |
| D0210 | Intraoral - complete series of radiographic images | 2.8% | 17 | 17 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | 2.4% | 46 | 46 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.9% | 89 | 82 | $822.87 |
| D1120 | Dental cleaning, childProphylaxis - child | 1.2% | 13 | 13 | $532.00 |
| D0274 | Bitewings - four radiographic images | <1% | 12 | 12 | $427.04 |
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.
From NPPES
Who's on the registration
Authorized officialNOWICKI, KEITH (DR)