I ZAK DDS PROF DENTAL CORP
NPI: 1265075204
· SANTA BARBARA, CA 93111
· Endodontist
· NPI assigned 10/22/2019
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official ZAK, ILYA controls 11+ related entities in our dataset. Read more
$149K
Total Medicaid Paid
Provider Details
| Authorized Official | ZAK, ILYA (PRESIDENT) |
| NPI Enumeration Date | 10/22/2019 |
Related Entities
Other providers sharing the same authorized official: ZAK, ILYA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
85 |
$4K |
| 2021 |
1,861 |
$38K |
| 2022 |
2,825 |
$34K |
| 2023 |
1,923 |
$31K |
| 2024 |
1,985 |
$43K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
607 |
607 |
$39K |
| D0210 |
Intraoral - complete series of radiographic images |
719 |
714 |
$33K |
| D0350 |
|
3,489 |
1,157 |
$33K |
| D9430 |
|
396 |
376 |
$13K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,967 |
485 |
$8K |
| D1110 |
Prophylaxis - adult |
86 |
86 |
$7K |
| D0274 |
Bitewings - four radiographic images |
277 |
270 |
$6K |
| D0330 |
Panoramic radiographic image |
791 |
786 |
$5K |
| D1120 |
Prophylaxis - child |
66 |
66 |
$3K |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
20 |
13 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
13 |
13 |
$118.00 |
| D9995 |
|
122 |
122 |
$28.56 |
| D0801 |
|
126 |
126 |
$0.00 |