Dental
Kousournas, Steven
Kousournas, Steven was paid $17K by Medicaid between Aug 2019 and Sep 2024, across 3 billing codes. Its largest line is D1120, dental cleaning, child — 51% of everything it billed.
33Billing provider infoKOUSOURNAS, STEVEN
EAST HARTFORD, CT 06108
EAST HARTFORD, CT 06108
33aNPI1780808576assigned 04/12/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$17K
24GClaims499
24DCodes billed3
24AFirst – last monthAug 2019 – Sep 2024
Compared with peers
Next to other General Practice Dentistry providers in Connecticut
Rank by total paid#283 of 431
Median peer was paid$79K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2019 | 41 | $1K | |
| 2020 | 50 | $2K | |
| 2021 | 211 | $8K | |
| 2022 | 24 | $882.00 | |
| 2023 | 77 | $2K | |
| 2024incomplete | 96 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 51% | 205 | 203 | $9K |
| D1208 | Topical application of fluoride, excluding varnish | 32% | 203 | 201 | $6K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 91 | 90 | $3K |
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.