Dental
Stanislav Kovtun DMD, PC
Stanislav Kovtun DMD, PC was paid $67K by Medicaid between Apr 2019 and Apr 2023, across 10 billing codes. Its largest line is D6057, — 18% of everything it billed.
33Billing provider infoSTANISLAV KOVTUN DMD, PC
BROOKLINE, MA 02446
BROOKLINE, MA 02446
33aNPI1902931686assigned 02/22/2007
33bProvider typeDentist
28Total paid$67K
24GClaims2,611
24DCodes billed10
24AFirst – last monthApr 2019 – Apr 2023
Compared with peers
Next to other Dentist providers in Massachusetts
Rank by total paid#227 of 413
Median peer was paid$93K
This provider vs. median0.7×
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 | 483 | $23K | |
| 2020 | 628 | $8K | |
| 2021 | 455 | $10K | |
| 2022 | 654 | $15K | |
| 2023 | 391 | $11K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D6057 | 18% | 32 | 12 | $12K | |
| D1330 | 18% | 846 | 837 | $12K | |
| D1110 | Prophylaxis - adult | 17% | 251 | 236 | $11K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 550 | 495 | $10K |
| D1208 | Topical application of fluoride, excluding varnish | 13% | 343 | 324 | $9K |
| D4910 | 6.0% | 54 | 54 | $4K | |
| D0220 | Intraoral - periapical first radiographic image | 5.0% | 272 | 241 | $3K |
| D0140 | Limited oral evaluation - problem focused | 4.1% | 103 | 83 | $3K |
| D0190 | 4.0% | 127 | 127 | $3K | |
| D0191 | 1.0% | 33 | 33 | $693.00 |
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 officialKOVTUN, STANISLAV (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Stanislav Kovtun, DMD PC | Brookline, MA | $246K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.