Dental
Palkhouski, Mikhail
Palkhouski, Mikhail was paid $47K by Medicaid between May 2024 and Dec 2024, across 11 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 27% of everything it billed.
33Billing provider infoPALKHOUSKI, MIKHAIL
UPPER DARBY, PA 19082
UPPER DARBY, PA 19082
33aNPI1942723358assigned 07/18/2017
33bProvider typeDentist
28Total paid$47K
24GClaims1,415
24DCodes billed11
24AFirst – last monthMay 2024 – Dec 2024
Compared with peers
Next to other Dentist providers in Pennsylvania
Rank by total paid#311 of 683
Median peer was paid$34K
This provider vs. median1.4×
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 | |
|---|---|---|---|
| 2024incomplete | 1,415 | $47K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 27% | 211 | 109 | $12K |
| D0210 | Intraoral - complete series of radiographic images | 16% | 200 | 200 | $8K |
| D1110 | Prophylaxis - adult | 14% | 196 | 196 | $7K |
| D0140 | Limited oral evaluation - problem focused | 14% | 118 | 115 | $6K |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 273 | 273 | $5K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 7.4% | 54 | 29 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 2.9% | 175 | 170 | $1K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.6% | 24 | 13 | $1K |
| D1206 | Topical application of fluoride varnish | 1.8% | 47 | 47 | $828.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 1.5% | 92 | 67 | $696.00 |
| D0274 | Bitewings - four radiographic images | 1.2% | 25 | 25 | $560.00 |
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.