Dental
Stanislav Kovtun, DMD PC
Stanislav Kovtun, DMD PC was paid $246K by Medicaid between Jan 2018 and Nov 2024, across 10 billing codes. Its largest line is D1110, Prophylaxis - adult — 51% of everything it billed.
33Billing provider infoSTANISLAV KOVTUN, DMD PC
BROOKLINE, MA 02446
BROOKLINE, MA 02446
33aNPI1922462100assigned 04/13/2016
33bProvider typeGeneral Practice Dentistry
28Total paid$246K
24GClaims5,920
24DCodes billed10
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Massachusetts
Rank by total paid#239 of 693
Median peer was paid$87K
This provider vs. median2.8×
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 | 1,182 | $45K | |
| 2019 | 1,222 | $44K | |
| 2020 | 696 | $25K | |
| 2021 | 782 | $29K | |
| 2022 | 723 | $30K | |
| 2023 | 616 | $42K | |
| 2024incomplete | 699 | $32K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 51% | 2,448 | 2,417 | $126K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 1,909 | 1,889 | $41K |
| D0140 | Limited oral evaluation - problem focused | 10% | 644 | 628 | $25K |
| D2740 | Crown - porcelain/ceramic | 6.7% | 22 | 13 | $17K |
| D0274 | Bitewings - four radiographic images | 6.3% | 442 | 437 | $15K |
| D0210 | Intraoral - complete series of radiographic images | 5.7% | 196 | 190 | $14K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.2% | 133 | 130 | $5K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 55 | 53 | $2K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 57 | 55 | $849.00 |
| D9110 | <1% | 14 | 14 | $504.00 |
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 (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Stanislav Kovtun DMD, PC | Brookline, MA | $67K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.