Dental
Kostrubala, Craig
Kostrubala, Craig was paid $337K by Medicaid between Jan 2018 and Nov 2024, across 15 billing codes. Its largest line is D9110, — 23% of everything it billed.
33Billing provider infoKOSTRUBALA, CRAIG
OAK LAWN, IL 60453
OAK LAWN, IL 60453
33aNPI1770700536assigned 04/20/2007
33bProvider typeDentist
28Total paid$337K
24GClaims10,103
24DCodes billed15
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Dentist providers in Illinois
Rank by total paid#384 of 1,099
Median peer was paid$160K
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 | |
|---|---|---|---|
| 2018 | 2,244 | $74K | |
| 2019 | 2,249 | $66K | |
| 2020 | 1,782 | $57K | |
| 2022 | 479 | $16K | |
| 2023 | 1,825 | $68K | |
| 2024incomplete | 1,524 | $55K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D9110 | 23% | 1,443 | 1,350 | $78K | |
| D1120 | Dental cleaning, childProphylaxis - child | 21% | 1,859 | 1,709 | $71K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 16% | 2,137 | 1,976 | $55K |
| D1208 | Topical application of fluoride, excluding varnish | 13% | 1,751 | 1,603 | $42K |
| D0330 | Panoramic radiographic image | 6.9% | 988 | 945 | $23K |
| D7140 | Extraction, erupted tooth or exposed root | 5.6% | 267 | 163 | $19K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.5% | 258 | 207 | $15K |
| D1110 | Prophylaxis - adult | 2.8% | 214 | 214 | $9K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.3% | 311 | 309 | $8K |
| D0274 | Bitewings - four radiographic images | 1.9% | 366 | 358 | $6K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.2% | 97 | 81 | $4K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 37 | 25 | $2K |
3 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.