Moline, Stanislav

Moline, Stanislav was paid $14K by Medicaid between Oct 2021 and Oct 2021, across 1 billing code. Its largest line is D3330, Endodontic therapy, molar tooth (excluding final restoration) — 100% of everything it billed.

33Billing provider infoMOLINE, STANISLAV
ELLINGTON, CT 06029

33aNPI1821008202assigned 08/09/2006

33bProvider typeEndodontist

28Total paid$14K

24GClaims14

24DCodes billed1

24AFirst – last monthOct 2021 – Oct 2021

Compared with peers

Next to other Endodontist providers in Connecticut

Rank by total paid#10 of 11

Median peer was paid$310K

This provider vs. median0.0×

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	14	$14K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D3330	Endodontic therapy, molar tooth (excluding final restoration)	100%	14	13	$14K

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.