Dental
Kozina, Gustav
Kozina, Gustav was paid $210K by Medicaid between Jan 2018 and Sep 2024, across 12 billing codes. Its largest line is D1120, dental cleaning, child — 32% of everything it billed.
33Billing provider infoKOZINA, GUSTAV
NORTH CHICAGO, IL 60064
NORTH CHICAGO, IL 60064
33aNPI1649326786assigned 01/25/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$210K
24GClaims5,799
24DCodes billed12
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other General Practice Dentistry providers in Illinois
Rank by total paid#414 of 1,017
Median peer was paid$123K
This provider vs. median1.7×
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 | 1,302 | $64K | |
| 2019 | 1,038 | $30K | |
| 2020 | 593 | $15K | |
| 2021 | 561 | $17K | |
| 2022 | 884 | $31K | |
| 2023 | 876 | $33K | |
| 2024incomplete | 545 | $19K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 32% | 1,691 | 1,607 | $68K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 22% | 1,697 | 1,615 | $47K |
| D8670 | Periodic orthodontic treatment visit | 19% | 182 | 167 | $40K |
| D1208 | Topical application of fluoride, excluding varnish | 9.2% | 764 | 726 | $19K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 7.1% | 136 | 116 | $15K |
| D0274 | Bitewings - four radiographic images | 4.6% | 563 | 540 | $10K |
| D0140 | Limited oral evaluation - problem focused | 3.0% | 416 | 385 | $6K |
| D0330 | Panoramic radiographic image | 1.8% | 204 | 180 | $4K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 51 | 50 | $810.00 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 13 | 12 | $625.95 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 42 | 41 | $218.40 |
| D1999 | 0% | 40 | 38 | $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.