Dental
Souchitski, Andrei
Souchitski, Andrei was paid $2.64M by Medicaid between Jan 2018 and Dec 2024, across 32 billing codes. Its largest line is D0120, dental checkup, returning patient — 19% of everything it billed.
33Billing provider infoSOUCHITSKI, ANDREI
LOS ANGELES, CA 90015
LOS ANGELES, CA 90015
33aNPI1265543920assigned 08/31/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$2.64M
24GClaims104,637
24DCodes billed32
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#214 of 2,668
Median peer was paid$173K
This provider vs. median15×
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 | 16,833 | $300K | |
| 2019 | 17,761 | $371K | |
| 2020 | 7,525 | $243K | |
| 2021 | 10,097 | $330K | |
| 2022 | 18,564 | $497K | |
| 2023 | 18,205 | $454K | |
| 2024incomplete | 15,652 | $444K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 19% | 8,988 | 8,955 | $490K |
| D8670 | Periodic orthodontic treatment visit | 12% | 1,078 | 1,078 | $304K |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 8,069 | 8,034 | $301K |
| D0230 | Intraoral - periapical each additional radiographic image | 8.6% | 43,923 | 10,386 | $228K |
| D9430 | 8.0% | 6,694 | 6,108 | $210K | |
| D1208 | Topical application of fluoride, excluding varnish | 5.2% | 11,407 | 11,353 | $137K |
| D7240 | Removal of impacted tooth - completely bony | 4.8% | 553 | 228 | $128K |
| D1110 | Prophylaxis - adult | 4.2% | 1,313 | 1,307 | $112K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.0% | 1,956 | 1,111 | $106K |
| D0274 | Bitewings - four radiographic images | 3.3% | 4,079 | 4,052 | $86K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.1% | 1,216 | 822 | $81K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.9% | 1,228 | 1,225 | $76K |
20 more codes
| D0210 | Intraoral - complete series of radiographic images | 1.9% | 1,076 | $50K |
| D0272 | Bitewings - two radiographic images | 1.8% | 4,207 | $48K |
| D1351 | Sealant - per tooth | 1.7% | 1,666 | $46K |
| D4910 | 1.5% | 530 | $41K | |
| D0350 | 1.5% | 3,760 | $39K | |
| D2751 | Crown - porcelain fused to predominantly base metal | 1.3% | 73 | $34K |
| D4341 | 1.0% | 378 | $26K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 382 | $15K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 191 | $13K |
| D0340 | <1% | 205 | $10K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 851 | $10K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 175 | $10K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 88 | $9K |
| D0330 | Panoramic radiographic image | <1% | 251 | $7K |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 61 | $7K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 60 | $7K |
| D0140 | Limited oral evaluation - problem focused | <1% | 131 | $5K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 22 | $2K |
| D9993 | <1% | 13 | $845.00 | |
| D1310 | <1% | 13 | $598.00 |
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.