IGOR ILYABAYEV D.D.S., P.C.
NPI: 1093045361
· VALLEY STREAM, NY 11580
· General Practice Dentistry
· NPI assigned 01/07/2010
Provider Details
| Authorized Official | ILYABAYEV, IGOR (DENTIST) |
| NPI Enumeration Date | 01/07/2010 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
100 |
$2K |
| 2019 |
369 |
$9K |
| 2020 |
1,694 |
$33K |
| 2021 |
2,011 |
$32K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
731 |
731 |
$31K |
| D0274 |
Bitewings - four radiographic images |
595 |
595 |
$13K |
| D0120 |
Periodic oral evaluation - established patient |
598 |
598 |
$12K |
| D0220 |
Intraoral - periapical first radiographic image |
756 |
755 |
$8K |
| D0230 |
Intraoral - periapical each additional radiographic image |
676 |
676 |
$7K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
141 |
141 |
$3K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
12 |
12 |
$942.45 |
| D1120 |
Prophylaxis - child |
29 |
29 |
$868.32 |
| D1208 |
Topical application of fluoride, excluding varnish |
52 |
52 |
$545.00 |
| D1999 |
|
324 |
322 |
$0.00 |
| D1330 |
|
260 |
260 |
$0.00 |