Clinic
Mike Kostakos, DDS, P.C.
Mike Kostakos, DDS, P.C. was paid $229K by Medicaid between Apr 2023 and Dec 2024, across 18 billing codes. Its largest line is D0330, Panoramic radiographic image — 15% of everything it billed.
33Billing provider infoMIKE KOSTAKOS, DDS, P.C.
SOUTHFIELD, MI 48076
SOUTHFIELD, MI 48076
33aNPI1295441822assigned 01/26/2023
33bProvider typeDental Clinic/Center
28Total paid$229K
24GClaims5,720
24DCodes billed18
24AFirst – last monthApr 2023 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Michigan
Rank by total paid#96 of 431
Median peer was paid$24K
This provider vs. median9.5×
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 | |
|---|---|---|---|
| 2023 | 2,176 | $79K | |
| 2024incomplete | 3,544 | $151K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0330 | Panoramic radiographic image | 15% | 605 | 603 | $34K |
| D0150 | Comprehensive oral evaluation - new or established patient | 13% | 681 | 679 | $30K |
| D1110 | Prophylaxis - adult | 11% | 488 | 484 | $26K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 10% | 181 | 116 | $23K |
| D4341 | 10% | 152 | 56 | $23K | |
| D0274 | Bitewings - four radiographic images | 9.1% | 731 | 726 | $21K |
| D0220 | Intraoral - periapical first radiographic image | 6.8% | 1,022 | 1,003 | $16K |
| D2740 | Crown - porcelain/ceramic | 6.1% | 20 | 14 | $14K |
| D0140 | Limited oral evaluation - problem focused | 4.6% | 240 | 238 | $11K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.1% | 333 | 332 | $9K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.5% | 904 | 835 | $8K |
| D1206 | Topical application of fluoride varnish | 2.5% | 252 | 252 | $6K |
6 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.
From NPPES
Who's on the registration
Authorized officialSALAMA, WALA (OFFICE MANAGER)