Dental
Klockowski, Richard
Klockowski, Richard was paid $104K by Medicaid between Jan 2018 and Oct 2018, across 5 billing codes. Its largest line is D8670, Periodic orthodontic treatment visit — 96% of everything it billed.
33Billing provider infoKLOCKOWSKI, RICHARD
ROME, NY 13440
ROME, NY 13440
33aNPI1871600932assigned 08/24/2006
33bProvider typeOrthodontics and Dentofacial Orthopedic Dentist
28Total paid$104K
24GClaims645
24DCodes billed5
24AFirst – last monthJan 2018 – Oct 2018
Compared with peers
Next to other Orthodontics and Dentofacial Orthopedic Dentist providers in New York
Rank by total paid#221 of 338
Median peer was paid$256K
This provider vs. median0.4×
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 | 645 | $104K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D8670 | Periodic orthodontic treatment visit | 96% | 433 | 433 | $100K |
| D0350 | 1.4% | 143 | 143 | $1K | |
| D0340 | 1.3% | 27 | 27 | $1K | |
| D0330 | Panoramic radiographic image | <1% | 29 | 29 | $1K |
| D0470 | <1% | 13 | 13 | $408.00 |
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.