Dental
James C Komendera DDS PC
James C Komendera DDS PC was paid $1K by Medicaid between Mar 2022 and Mar 2022, across 3 billing codes. Its largest line is D1120, dental cleaning, child — 43% of everything it billed.
33Billing provider infoJAMES C KOMENDERA DDS PC
LAKE ORION, MI 48360
LAKE ORION, MI 48360
33aNPI1942377122assigned 11/30/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$1K
24GClaims37
24DCodes billed3
24AFirst – last monthMar 2022 – Mar 2022
Compared with peers
Next to other General Practice Dentistry providers in Michigan
Rank by total paid#1,271 of 1,554
Median peer was paid$15K
This provider vs. median0.1×
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 | 37 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 43% | 12 | 12 | $504.00 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 30% | 12 | 12 | $348.00 |
| D1206 | Topical application of fluoride varnish | 27% | 13 | 13 | $312.00 |
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.
From NPPES
Who's on the registration
Authorized officialKOMENDERA, JAMES (PRESIDENT)