STANISLAV KOVTUN DMD, PC
NPI: 1902931686
· BROOKLINE, MA 02446
· Dentist
· NPI assigned 02/22/2007
Provider Details
Related Entities
Other providers sharing the same authorized official: KOVTUN, STANISLAV
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
483 |
$23K |
| 2020 |
628 |
$8K |
| 2021 |
455 |
$10K |
| 2022 |
654 |
$15K |
| 2023 |
391 |
$11K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D6057 |
|
32 |
12 |
$12K |
| D1330 |
|
846 |
837 |
$12K |
| D1110 |
Prophylaxis - adult |
251 |
236 |
$11K |
| D0120 |
Periodic oral evaluation - established patient |
550 |
495 |
$10K |
| D1208 |
Topical application of fluoride, excluding varnish |
343 |
324 |
$9K |
| D4910 |
|
54 |
54 |
$4K |
| D0220 |
Intraoral - periapical first radiographic image |
272 |
241 |
$3K |
| D0140 |
Limited oral evaluation - problem focused |
103 |
83 |
$3K |
| D0190 |
|
127 |
127 |
$3K |
| D0191 |
|
33 |
33 |
$693.00 |