Clinic
Kontoveros Klobas Clark LLC
Kontoveros Klobas Clark LLC was paid $499K by Medicaid between Aug 2021 and Dec 2024, across 17 billing codes. Its largest line is D7140, Extraction, erupted tooth or exposed root — 23% of everything it billed.
33Billing provider infoKONTOVEROS KLOBAS CLARK LLC
CLEVELAND, OH 44109
CLEVELAND, OH 44109
33aNPI1770178956assigned 03/09/2021
33bProvider typeDental Clinic/Center
28Total paid$499K
24GClaims11,656
24DCodes billed17
24AFirst – last monthAug 2021 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Ohio
Rank by total paid#43 of 111
Median peer was paid$236K
This provider vs. median2.1×
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 | 134 | $2K | |
| 2022 | 1,102 | $20K | |
| 2023 | 3,669 | $102K | |
| 2024incomplete | 6,751 | $374K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7140 | Extraction, erupted tooth or exposed root | 23% | 1,283 | 583 | $114K |
| D0330 | Panoramic radiographic image | 13% | 1,013 | 891 | $64K |
| D1110 | Prophylaxis - adult | 13% | 1,254 | 1,137 | $63K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.9% | 1,712 | 1,548 | $44K |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.1% | 1,084 | 951 | $40K |
| D0274 | Bitewings - four radiographic images | 6.8% | 1,311 | 1,142 | $34K |
| D0210 | Intraoral - complete series of radiographic images | 5.4% | 289 | 262 | $27K |
| D0140 | Limited oral evaluation - problem focused | 5.3% | 695 | 639 | $26K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.1% | 308 | 165 | $25K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.6% | 575 | 508 | $18K |
| D1208 | Topical application of fluoride, excluding varnish | 3.2% | 660 | 592 | $16K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.4% | 146 | 98 | $12K |
5 more codes
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.
From NPPES
Who's on the registration
Authorized officialKONTOVEROS, GEORGE (OWNER)
Parent organizationKONTOVEROS KLOBAS HOLDINGS LLC
| Provider | Location | Paid |
|---|---|---|
| Kontoveros Klobas Aurora LLC | Aurora, OH | $14K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.