Clinic
Anatoly Vaisan DDS INC
Anatoly Vaisan DDS INC was paid $5K by Medicaid between Feb 2018 and Feb 2024, across 4 billing codes. Its largest line is D0230, Intraoral - periapical each additional radiographic image — 64% of everything it billed.
33Billing provider infoANATOLY VAISAN DDS INC
SAN FERNANDO, CA 91340
SAN FERNANDO, CA 91340
33aNPI1023166600assigned 01/08/2007
33bProvider typeDental Clinic/Center
28Total paid$5K
24GClaims841
24DCodes billed4
24AFirst – last monthFeb 2018 – Feb 2024
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#1,030 of 1,135
Median peer was paid$200K
This provider vs. median0.0×
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 | 225 | $909.63 | |
| 2019 | 245 | $1K | |
| 2020 | 113 | $457.65 | |
| 2021 | 114 | $504.24 | |
| 2022 | 61 | $247.05 | |
| 2023 | 56 | $211.65 | |
| 2024incomplete | 27 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0230 | Intraoral - periapical each additional radiographic image | 64% | 788 | 191 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 16% | 12 | 12 | $792.00 |
| D0210 | Intraoral - complete series of radiographic images | 15% | 15 | 15 | $720.00 |
| D0220 | Intraoral - periapical first radiographic image | 5.5% | 26 | 25 | $274.00 |
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 officialVAISMAN, ANATOLY (OWNER/DENTIST)