Okoruwa, Ebosetale

Okoruwa, Ebosetale was paid $7K by Medicaid between Feb 2021 and Apr 2021, across 8 billing codes. Its largest line is D1120, dental cleaning, child — 31% of everything it billed.

33Billing provider infoOKORUWA, EBOSETALE
COTTAGE GROVE, MN 55016

33aNPI1417444332assigned 04/16/2018

33bProvider typeDentist

28Total paid$7K

24GClaims418

24DCodes billed8

24AFirst – last monthFeb 2021 – Apr 2021

Compared with peers

Next to other Dentist providers in Minnesota

Rank by total paid#107 of 192

Median peer was paid$9K

This provider vs. median0.8×

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
2021	418	$7K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	31%	100	100	$2K
D0150	Comprehensive oral evaluation - new or established patient	19%	63	62	$1K
D1206	Topical application of fluoride varnish	18%	97	97	$1K
D0272	Bitewings - two radiographic images	12%	61	61	$816.79
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	8.2%	36	36	$573.12
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	7.5%	13	13	$525.20
D0220	Intraoral - periapical first radiographic image	3.4%	30	30	$241.20
D0230	Intraoral - periapical each additional radiographic image	1.5%	18	13	$105.66

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.