Dental
Stevanovic, Marko
Stevanovic, Marko was paid $33K by Medicaid between Jul 2018 and Aug 2018, across 13 billing codes. Its largest line is D1120, dental cleaning, child — 22% of everything it billed.
33Billing provider infoSTEVANOVIC, MARKO
PROVIDENCE, RI 02905
PROVIDENCE, RI 02905
33aNPI1922369255assigned 06/04/2012
33bProvider typeDentist
28Total paid$33K
24GClaims1,140
24DCodes billed13
24AFirst – last monthJul 2018 – Aug 2018
Compared with peers
Next to other Dentist providers in Rhode Island
Rank by total paid#68 of 93
Median peer was paid$115K
This provider vs. median0.3×
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 | 1,140 | $33K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 22% | 188 | 188 | $7K |
| D1206 | Topical application of fluoride varnish | 22% | 210 | 210 | $7K |
| D1351 | Sealant - per tooth | 9.4% | 158 | 44 | $3K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.8% | 156 | 156 | $3K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.2% | 41 | 30 | $3K |
| D0330 | Panoramic radiographic image | 7.3% | 55 | 55 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.7% | 42 | 30 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.0% | 60 | 60 | $2K |
| D0274 | Bitewings - four radiographic images | 4.9% | 69 | 69 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 2.3% | 66 | 66 | $758.00 |
| D0272 | Bitewings - two radiographic images | 1.8% | 34 | 34 | $600.00 |
| D1110 | Prophylaxis - adult | 1.6% | 16 | 16 | $540.00 |
1 more codes
| D0230 | Intraoral - periapical each additional radiographic image | 1.1% | 45 | $356.00 |
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.