FATAKHOV, YURIY
NPI: 1023140407
· FOREST HILLS, NY 11375
· Dentist
· NPI assigned 03/11/2007
$193K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,066 |
$26K |
| 2019 |
1,289 |
$30K |
| 2020 |
1,123 |
$26K |
| 2021 |
1,247 |
$33K |
| 2022 |
1,142 |
$30K |
| 2023 |
1,032 |
$26K |
| 2024 |
955 |
$23K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
2,063 |
2,058 |
$90K |
| D0120 |
Periodic oral evaluation - established patient |
2,761 |
2,756 |
$60K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,069 |
1,061 |
$13K |
| D0220 |
Intraoral - periapical first radiographic image |
989 |
969 |
$11K |
| D2394 |
|
50 |
41 |
$5K |
| D0274 |
Bitewings - four radiographic images |
250 |
249 |
$5K |
| D1208 |
Topical application of fluoride, excluding varnish |
392 |
392 |
$4K |
| D1120 |
Prophylaxis - child |
120 |
120 |
$4K |
| D0272 |
Bitewings - two radiographic images |
96 |
94 |
$1K |
| D1999 |
|
64 |
62 |
$0.00 |