Shulzhenko Dental, INC

Shulzhenko Dental, INC was paid $22K by Medicaid between Oct 2018 and Mar 2024, across 5 billing codes. Its largest line is D2751, Crown - porcelain fused to predominantly base metal — 66% of everything it billed.

33Billing provider infoSHULZHENKO DENTAL, INC
PACOIMA, CA 91331

33aNPI1164641049assigned 04/25/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$22K

24GClaims218

24DCodes billed5

24AFirst – last monthOct 2018 – Mar 2024

Compared with peers

Next to other General Practice Dentistry providers in California

Rank by total paid#2,010 of 2,668

Median peer was paid$173K

This provider vs. median0.1×

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	31	$1K
2019	12	$726.00
2020	31	$273.00
2022	55	$2K
2023	77	$18K
2024incomplete	12	$178.00

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D2751	Crown - porcelain fused to predominantly base metal	66%	31	15	$15K
D2954		10%	22	13	$2K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	9.6%	31	29	$2K
D0150	Comprehensive oral evaluation - new or established patient	7.4%	27	27	$2K
D1208	Topical application of fluoride, excluding varnish	6.1%	107	101	$1K

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 officialSHULZHENKO, LARYSA (PRESIDENT)