Kozlov, Aleksey

Kozlov, Aleksey was paid $6K by Medicaid between Jan 2019 and Jun 2019, across 8 billing codes. Its largest line is D1208, Topical application of fluoride, excluding varnish — 30% of everything it billed.

33Billing provider infoKOZLOV, ALEKSEY
CEDAR CREST, NM 87008

33aNPI1124513288assigned 06/29/2018

33bProvider typeGeneral Practice Dentistry

28Total paid$6K

24GClaims265

24DCodes billed8

24AFirst – last monthJan 2019 – Jun 2019

Compared with peers

Next to other General Practice Dentistry providers in New Mexico

Rank by total paid#155 of 202

Median peer was paid$44K

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
2019	265	$6K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1208	Topical application of fluoride, excluding varnish	30%	99	99	$2K
D1120	Dental cleaning, childProphylaxis - child	23%	44	44	$1K
D0150	Comprehensive oral evaluation - new or established patient	19%	32	32	$1K
D1110	Prophylaxis - adult	10%	13	13	$582.14
D0220	Intraoral - periapical first radiographic image	7.4%	39	38	$425.88
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	4.5%	12	12	$261.96
D0272	Bitewings - two radiographic images	4.4%	13	13	$255.45
D0230	Intraoral - periapical each additional radiographic image	2.0%	13	13	$113.36

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.