Dental
Konicov, David
Konicov, David was paid $367K by Medicaid between Jan 2018 and Sep 2022, across 20 billing codes. Its largest line is D1110, Prophylaxis - adult — 29% of everything it billed.
33Billing provider infoKONICOV, DAVID
PROVIDENCE, RI 02906
PROVIDENCE, RI 02906
33aNPI1033264866assigned 01/24/2007
33bProvider typeDentist
28Total paid$367K
24GClaims19,148
24DCodes billed20
24AFirst – last monthJan 2018 – Sep 2022
Compared with peers
Next to other Dentist providers in Rhode Island
Rank by total paid#31 of 93
Median peer was paid$115K
This provider vs. median3.2×
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 | 5,503 | $116K | |
| 2019 | 4,759 | $89K | |
| 2020 | 2,341 | $34K | |
| 2021 | 4,818 | $95K | |
| 2022 | 1,727 | $33K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 29% | 3,533 | 3,411 | $106K |
| D7140 | Extraction, erupted tooth or exposed root | 13% | 737 | 426 | $47K |
| D1208 | Topical application of fluoride, excluding varnish | 12% | 2,503 | 2,461 | $44K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 3,340 | 3,222 | $40K |
| D1206 | Topical application of fluoride varnish | 9.5% | 1,139 | 1,033 | $35K |
| D0272 | Bitewings - two radiographic images | 6.4% | 1,617 | 1,566 | $24K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.8% | 425 | 374 | $18K |
| D0140 | Limited oral evaluation - problem focused | 4.3% | 1,317 | 1,250 | $16K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.7% | 622 | 590 | $14K |
| D0274 | Bitewings - four radiographic images | 2.1% | 359 | 333 | $8K |
| D0220 | Intraoral - periapical first radiographic image | 2.1% | 774 | 727 | $8K |
| D1330 | <1% | 158 | 132 | $3K |
8 more codes
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.