Desteno, Cosmo

Desteno, Cosmo was paid $5.75M by Medicaid between Jan 2018 and Jul 2024, across 54 billing codes. Its largest line is D9999, Unspecified adjunctive procedure, by report — 92% of everything it billed.

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	35,907	$2.16M
2019	50,800	$2.79M
2020	12,233	$703K
2024incomplete	1,294	$92K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D9999	Unspecified adjunctive procedure, by report	92%	34,437	26,888	$5.29M
D0999	Unspecified diagnostic procedure, by report	7.1%	2,598	2,057	$409K
D8670	Periodic orthodontic treatment visit	<1%	106	106	$29K
D9310		<1%	2,481	2,411	$2K
D0330	Panoramic radiographic image	<1%	2,240	2,240	$2K
D1351	Sealant - per tooth	<1%	3,154	1,109	$2K
D1120	Dental cleaning, childProphylaxis - child	<1%	3,085	3,082	$1K
D1110	Prophylaxis - adult	<1%	4,548	4,502	$1K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	<1%	6,409	6,321	$1K
D0470		<1%	358	349	$952.00
D2391	Resin-based composite - one surface, posterior, primary or permanent	<1%	1,576	1,248	$900.87
D0340		<1%	17	17	$880.00

42 more codes

D1206	Topical application of fluoride varnish	<1%	2,088	$807.00
D0150	Comprehensive oral evaluation - new or established patient	<1%	4,036	$592.96
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	<1%	2,550	$541.98
D0274	Bitewings - four radiographic images	<1%	2,290	$464.16
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth	<1%	991	$389.06
D7140	Extraction, erupted tooth or exposed root	<1%	4,104	$389.06
D2930	Prefabricated stainless steel crown - primary tooth	<1%	199	$358.15
D4341		<1%	2,548	$286.56
D1208	Topical application of fluoride, excluding varnish	<1%	1,736	$285.45
D0272	Bitewings - two radiographic images	<1%	1,525	$263.12
D0350		<1%	17	$204.00
D0220	Intraoral - periapical first radiographic image	<1%	2,904	$186.48
D0140	Limited oral evaluation - problem focused	<1%	3,300	$153.39
D0210	Intraoral - complete series of radiographic images	<1%	1,994	$143.28
D8660		<1%	14	$116.00
D2331		<1%	843	$107.44
D0270		<1%	1,046	$56.80
D0230	Intraoral - periapical each additional radiographic image	<1%	121	$21.12
D9110		<1%	285	$17.91
D5110		0%	1,340	$0.00
D2332		0%	92	$0.00
D0191		0%	657	$0.00
D4910		0%	524	$0.00
D9940		0%	25	$0.00
D0160		0%	49	$0.00
D9430		0%	202	$0.00
D2751	Crown - porcelain fused to predominantly base metal	0%	230	$0.00
D5213		0%	293	$0.00
D3320		0%	44	$0.00
D9944		0%	32	$0.00
D2740	Crown - porcelain/ceramic	0%	18	$0.00
D4342		0%	716	$0.00
D5120		0%	856	$0.00
D5214		0%	494	$0.00
D2330		0%	356	$0.00
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	0%	231	$0.00
D0240		0%	65	$0.00
D9995		0%	91	$0.00
D9222		0%	12	$0.00
D2335		0%	55	$0.00
D3330	Endodontic therapy, molar tooth (excluding final restoration)	0%	94	$0.00
D3310		0%	158	$0.00

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.