Dental
Krubsack, Benjaporn
Krubsack, Benjaporn was paid $292K by Medicaid between Sep 2022 and Apr 2023, across 24 billing codes. Its largest line is D4341, — 19% of everything it billed.
33Billing provider infoKRUBSACK, BENJAPORN
MINNEAPOLIS, MN 55455
MINNEAPOLIS, MN 55455
33aNPI1700452042assigned 05/27/2021
33bProvider typeOrofacial Pain Dentist
28Total paid$292K
24GClaims8,304
24DCodes billed24
24AFirst – last monthSep 2022 – Apr 2023
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 | |
|---|---|---|---|
| 2022 | 2,063 | $76K | |
| 2023 | 6,241 | $216K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D4341 | 19% | 393 | 169 | $56K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 10% | 613 | 342 | $29K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.9% | 550 | 545 | $23K |
| D1351 | Sealant - per tooth | 7.6% | 355 | 153 | $22K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.3% | 659 | 658 | $18K |
| D7140 | Extraction, erupted tooth or exposed root | 5.3% | 252 | 169 | $15K |
| D1208 | Topical application of fluoride, excluding varnish | 5.0% | 552 | 547 | $15K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.9% | 241 | 168 | $14K |
| D1110 | Prophylaxis - adult | 4.6% | 287 | 287 | $14K |
| D0274 | Bitewings - four radiographic images | 4.6% | 702 | 698 | $13K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.5% | 525 | 518 | $13K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 3.2% | 117 | 74 | $9K |
12 more codes
| D4342 | 2.6% | 54 | $8K | |
| D0220 | Intraoral - periapical first radiographic image | 2.5% | 1,166 | $7K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.2% | 1,001 | $6K |
| D0140 | Limited oral evaluation - problem focused | 1.8% | 307 | $5K |
| D2330 | 1.8% | 81 | $5K | |
| D2331 | 1.3% | 42 | $4K | |
| D2332 | 1.2% | 33 | $3K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.1% | 47 | $3K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 127 | $2K |
| D2335 | <1% | 19 | $2K | |
| D0272 | Bitewings - two radiographic images | <1% | 136 | $1K |
| D0270 | <1% | 45 | $240.80 |
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.