LA COSTA DENTAL OF KOSTORYZ PA
NPI: 1245658798
· CORPUS CHRISTI, TX 78415
· 122300000X
$1.62M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
50 |
$556.22 |
| 2020 |
1,652 |
$39K |
| 2021 |
16,671 |
$384K |
| 2022 |
25,932 |
$664K |
| 2023 |
13,070 |
$313K |
| 2024 |
8,720 |
$222K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
|
3,517 |
1,323 |
$234K |
| D1351 |
|
9,510 |
1,802 |
$223K |
| D2391 |
|
4,255 |
1,338 |
$211K |
| D0120 |
|
5,401 |
5,198 |
$139K |
| D1110 |
|
2,859 |
2,765 |
$137K |
| D1120 |
|
3,224 |
3,111 |
$106K |
| D1208 |
|
6,286 |
6,078 |
$81K |
| D0145 |
|
666 |
653 |
$80K |
| D0274 |
|
2,968 |
2,865 |
$71K |
| D0210 |
|
1,652 |
1,543 |
$59K |
| D0150 |
|
1,674 |
1,593 |
$51K |
| D0220 |
|
4,441 |
4,273 |
$42K |
| D0230 |
|
4,305 |
4,043 |
$35K |
| D2930 |
|
228 |
44 |
$31K |
| D0330 |
|
2,013 |
1,899 |
$30K |
| D9230 |
|
1,858 |
1,669 |
$22K |
| D0272 |
|
1,134 |
1,089 |
$22K |
| D0350 |
|
1,318 |
1,271 |
$13K |
| D7240 |
|
38 |
14 |
$11K |
| D2330 |
|
187 |
95 |
$10K |
| D2393 |
|
82 |
43 |
$7K |
| D7140 |
|
232 |
115 |
$6K |
| D2331 |
|
26 |
14 |
$2K |
| D0140 |
|
15 |
13 |
$315.36 |
| D3120 |
|
55 |
25 |
$86.01 |
| D1330 |
|
27 |
26 |
$68.02 |
| D0603 |
|
6,232 |
5,980 |
$2.05 |
| D0602 |
|
1,310 |
1,269 |
$0.15 |
| D0601 |
|
582 |
565 |
$0.07 |