Dental
Dr.Kostenko D.M.D. P.C.
Dr.Kostenko D.M.D. P.C. was paid $467K by Medicaid between Jan 2018 and Nov 2024, across 15 billing codes. Its largest line is D1110, Prophylaxis - adult — 31% of everything it billed.
33Billing provider infoDR.KOSTENKO D.M.D. P.C.
LYNN, MA 01901
LYNN, MA 01901
33aNPI1417127671assigned 03/04/2008
33bProvider typeGeneral Practice Dentistry
28Total paid$467K
24GClaims9,737
24DCodes billed15
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Massachusetts
Rank by total paid#180 of 693
Median peer was paid$87K
This provider vs. median5.4×
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 | 1,647 | $61K | |
| 2019 | 1,206 | $41K | |
| 2020 | 877 | $30K | |
| 2021 | 1,432 | $77K | |
| 2022 | 1,655 | $118K | |
| 2023 | 1,590 | $59K | |
| 2024incomplete | 1,330 | $81K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 31% | 2,721 | 2,690 | $144K |
| D2740 | Crown - porcelain/ceramic | 23% | 153 | 111 | $108K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 3,055 | 3,039 | $70K |
| D0274 | Bitewings - four radiographic images | 9.9% | 1,253 | 1,244 | $46K |
| D0210 | Intraoral - complete series of radiographic images | 7.8% | 499 | 491 | $37K |
| D2751 | Crown - porcelain fused to predominantly base metal | 4.1% | 38 | 29 | $19K |
| D0220 | Intraoral - periapical first radiographic image | 2.6% | 770 | 759 | $12K |
| D1208 | Topical application of fluoride, excluding varnish | 2.3% | 355 | 353 | $11K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.8% | 663 | 525 | $8K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 53 | 39 | $4K |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 47 | 46 | $2K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 30 | 13 | $2K |
3 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 officialKOSTENKO, VALERIY (DENTIST)