Dental
Modelevsky, Stephen
Modelevsky, Stephen was paid $967K by Medicaid between Jan 2018 and Dec 2020, across 5 billing codes. Its largest line is D7240, Removal of impacted tooth - completely bony — 71% of everything it billed.
33Billing provider infoMODELEVSKY, STEPHEN
JONESBORO, AR 72401
JONESBORO, AR 72401
33aNPI1477647089assigned 10/03/2006
33bProvider typeOral and Maxillofacial Pathology Dentist
28Total paid$967K
24GClaims6,163
24DCodes billed5
24AFirst – last monthJan 2018 – Dec 2020
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 | 2,845 | $410K | |
| 2019 | 2,541 | $439K | |
| 2020 | 777 | $117K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7240 | Removal of impacted tooth - completely bony | 71% | 2,954 | 879 | $684K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 14% | 1,832 | 1,037 | $139K |
| D9222 | 9.6% | 1,107 | 1,041 | $93K | |
| D7230 | 5.1% | 245 | 137 | $49K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 25 | 25 | $780.80 |
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.