Dental
Sivanich, Kristofer
Sivanich, Kristofer was paid $29K by Medicaid between Dec 2020 and Jun 2024, across 9 billing codes. Its largest line is D1120, dental cleaning, child — 21% of everything it billed.
33Billing provider infoSIVANICH, KRISTOFER
FORT HOOD, TX 76544
FORT HOOD, TX 76544
33aNPI1285945089assigned 06/25/2010
33bProvider typePediatric Dentist
28Total paid$29K
24GClaims2,184
24DCodes billed9
24AFirst – last monthDec 2020 – Jun 2024
Compared with peers
Next to other Pediatric Dentist providers in Texas
Rank by total paid#509 of 693
Median peer was paid$252K
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 | |
|---|---|---|---|
| 2020 | 97 | $1K | |
| 2021 | 528 | $6K | |
| 2022 | 336 | $3K | |
| 2023 | 1,069 | $17K | |
| 2024incomplete | 154 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 21% | 171 | 168 | $6K |
| D0145 | Oral evaluation for a patient under three years of age | 20% | 44 | 42 | $6K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 16% | 169 | 166 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | 15% | 481 | 212 | $4K |
| D1206 | Topical application of fluoride varnish | 15% | 319 | 311 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 8.3% | 242 | 232 | $2K |
| D0272 | Bitewings - two radiographic images | 2.7% | 51 | 49 | $771.54 |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.0% | 16 | 16 | $565.12 |
| D0603 | 0% | 691 | 679 | $0.00 |
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.