Dental
Kloberdanz, Courtney
Kloberdanz, Courtney was paid $41K by Medicaid between Jan 2018 and Mar 2019, across 13 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 21% of everything it billed.
33Billing provider infoKLOBERDANZ, COURTNEY
ARLINGTON HEIGHTS, IL 60004
ARLINGTON HEIGHTS, IL 60004
33aNPI1083013213assigned 08/13/2014
33bProvider typeDentist
28Total paid$41K
24GClaims1,771
24DCodes billed13
24AFirst – last monthJan 2018 – Mar 2019
Compared with peers
Next to other Dentist providers in Illinois
Rank by total paid#768 of 1,099
Median peer was paid$160K
This provider vs. median0.3×
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 | 1,649 | $40K | |
| 2019 | 122 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 21% | 144 | 100 | $8K |
| D1120 | Dental cleaning, childProphylaxis - child | 19% | 197 | 197 | $8K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 204 | 203 | $5K |
| D1208 | Topical application of fluoride, excluding varnish | 11% | 181 | 181 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 10% | 207 | 202 | $4K |
| D0140 | Limited oral evaluation - problem focused | 8.5% | 235 | 227 | $4K |
| D0330 | Panoramic radiographic image | 4.3% | 95 | 91 | $2K |
| D0274 | Bitewings - four radiographic images | 4.2% | 108 | 107 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 2.9% | 227 | 219 | $1K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.0% | 15 | 12 | $818.55 |
| D0210 | Intraoral - complete series of radiographic images | 1.9% | 66 | 65 | $802.60 |
| D0272 | Bitewings - two radiographic images | 1.7% | 80 | 80 | $710.60 |
1 more codes
| D9310 | <1% | 12 | $188.10 |
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.