Dental
Matthew Kubovich
Matthew Kubovich was paid $515K by Medicaid between Jan 2018 and Apr 2019, across 18 billing codes. Its largest line is D1120, dental cleaning, child — 23% of everything it billed.
33Billing provider infoMATTHEW KUBOVICH
WEST DES MOINES, IA 50266
WEST DES MOINES, IA 50266
33aNPI1386811677assigned 05/15/2008
33bProvider typePediatric Dentist
28Total paid$515K
24GClaims20,774
24DCodes billed18
24AFirst – last monthJan 2018 – Apr 2019
Compared with peers
Next to other Pediatric Dentist providers in Iowa
Rank by total paid#24 of 58
Median peer was paid$284K
This provider vs. median1.8×
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 | 15,583 | $386K | |
| 2019 | 5,191 | $128K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 23% | 4,354 | 4,240 | $120K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 4,397 | 4,283 | $87K |
| D1206 | Topical application of fluoride varnish | 15% | 4,607 | 4,488 | $75K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 9.5% | 452 | 210 | $49K |
| D0272 | Bitewings - two radiographic images | 5.8% | 1,595 | 1,551 | $30K |
| D1351 | Sealant - per tooth | 5.8% | 1,271 | 322 | $30K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 5.5% | 399 | 261 | $28K |
| D1110 | Prophylaxis - adult | 3.9% | 508 | 498 | $20K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.6% | 1,113 | 1,046 | $19K |
| D0330 | Panoramic radiographic image | 2.4% | 240 | 238 | $12K |
| D2140 | 2.3% | 215 | 156 | $12K | |
| D0274 | Bitewings - four radiographic images | 2.3% | 428 | 413 | $12K |
6 more codes
| D0240 | 1.6% | 635 | $8K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 287 | $4K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 146 | $4K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 39 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 63 | $2K |
| D0140 | Limited oral evaluation - problem focused | <1% | 25 | $627.47 |
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 officialKUBOVICH, MATTHEW (OWNER)