Dental
Kaczmarski, Jonathan
Kaczmarski, Jonathan was paid $1.47M by Medicaid between Oct 2021 and Dec 2024, across 28 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 20% of everything it billed.
33Billing provider infoKACZMARSKI, JONATHAN
GASTONIA, NC 28054
GASTONIA, NC 28054
33aNPI1982835831assigned 07/27/2009
33bProvider typePediatric Dentist
28Total paid$1.47M
24GClaims44,066
24DCodes billed28
24AFirst – last monthOct 2021 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in North Carolina
Rank by total paid#74 of 195
Median peer was paid$776K
This provider vs. median1.9×
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 | |
|---|---|---|---|
| 2021 | 2,045 | $31K | |
| 2022 | 10,994 | $342K | |
| 2023 | 14,120 | $504K | |
| 2024incomplete | 16,907 | $592K |
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 | 20% | 3,307 | 1,207 | $294K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 11% | 2,255 | 928 | $159K |
| D1120 | Dental cleaning, childProphylaxis - child | 6.9% | 4,222 | 3,749 | $101K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 6.4% | 2,457 | 1,893 | $95K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.4% | 2,604 | 2,118 | $95K |
| D1351 | Sealant - per tooth | 6.1% | 3,834 | 889 | $89K |
| D1206 | Topical application of fluoride varnish | 5.2% | 5,326 | 4,687 | $76K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 5.1% | 767 | 184 | $75K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.8% | 2,900 | 2,713 | $71K |
| D7140 | Extraction, erupted tooth or exposed root | 4.7% | 1,357 | 498 | $69K |
| D8670 | Periodic orthodontic treatment visit | 4.5% | 991 | 764 | $66K |
| D1110 | Prophylaxis - adult | 2.7% | 1,233 | 1,077 | $40K |
16 more codes
| D0220 | Intraoral - periapical first radiographic image | 2.3% | 2,777 | $34K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.3% | 3,307 | $34K |
| D0272 | Bitewings - two radiographic images | 1.9% | 1,954 | $28K |
| D0140 | Limited oral evaluation - problem focused | 1.9% | 835 | $27K |
| D0330 | Panoramic radiographic image | 1.8% | 723 | $26K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.6% | 224 | $23K |
| D0274 | Bitewings - four radiographic images | 1.3% | 731 | $18K |
| D0240 | <1% | 981 | $13K | |
| D8080 | Comprehensive orthodontic treatment of the adolescent dentition | <1% | 16 | $10K |
| D1510 | <1% | 43 | $8K | |
| D1354 | <1% | 832 | $5K | |
| D9420 | <1% | 96 | $4K | |
| D2330 | <1% | 63 | $3K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 80 | $2K |
| D0470 | <1% | 81 | $1K | |
| D0340 | <1% | 70 | $1K |
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.