Dental
Servetnik, Dzhuliya
Servetnik, Dzhuliya was paid $39K by Medicaid between Jan 2023 and Jul 2023, across 10 billing codes. Its largest line is D0145, Oral evaluation for a patient under three years of age — 40% of everything it billed.
33Billing provider infoSERVETNIK, DZHULIYA
CYPRESS, TX 77433
CYPRESS, TX 77433
33aNPI1235668021assigned 06/06/2017
33bProvider typeDentist
28Total paid$39K
24GClaims1,535
24DCodes billed10
24AFirst – last monthJan 2023 – Jul 2023
Compared with peers
Next to other Dentist providers in Texas
Rank by total paid#817 of 1,678
Median peer was paid$35K
This provider vs. median1.1×
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 | |
|---|---|---|---|
| 2023 | 1,535 | $39K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0145 | Oral evaluation for a patient under three years of age | 40% | 112 | 111 | $16K |
| D1351 | Sealant - per tooth | 23% | 330 | 54 | $9K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.7% | 107 | 107 | $4K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.3% | 87 | 86 | $2K |
| D0272 | Bitewings - two radiographic images | 5.8% | 122 | 121 | $2K |
| D1206 | Topical application of fluoride varnish | 4.8% | 132 | 132 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 4.2% | 161 | 158 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.8% | 165 | 147 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.3% | 27 | 27 | $883.00 |
| D0603 | 0% | 292 | 286 | $0.00 |
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.