Dental
Dmitriy Pivnik DDS INC
Dmitriy Pivnik DDS INC was paid $3.13M by Medicaid between Jan 2018 and Dec 2024, across 36 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 20% of everything it billed.
33Billing provider infoDMITRIY PIVNIK DDS INC
MORGAN HILL, CA 95037
MORGAN HILL, CA 95037
33aNPI1336696426assigned 09/06/2016
33bProvider typePediatric Dentist
28Total paid$3.13M
24GClaims76,991
24DCodes billed36
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in California
Rank by total paid#75 of 332
Median peer was paid$450K
This provider vs. median7.0×
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 | 15,893 | $556K | |
| 2019 | 19,250 | $745K | |
| 2020 | 23,206 | $1.07M | |
| 2021 | 16,238 | $699K | |
| 2022 | 62 | $0.00 | |
| 2023 | 59 | $3K | |
| 2024incomplete | 2,283 | $59K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 20% | 6,148 | 1,815 | $631K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 12% | 4,631 | 2,400 | $376K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 9.1% | 2,640 | 408 | $284K |
| D1120 | Dental cleaning, childProphylaxis - child | 6.0% | 6,109 | 5,905 | $187K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.9% | 3,119 | 1,620 | $185K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 5.7% | 4,019 | 3,535 | $177K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 5.4% | 2,171 | 913 | $168K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.2% | 18,105 | 4,575 | $163K |
| D7140 | Extraction, erupted tooth or exposed root | 4.8% | 2,650 | 1,302 | $149K |
| D9310 | 4.7% | 3,117 | 3,004 | $148K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.6% | 2,739 | 2,714 | $112K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.1% | 2,023 | 1,975 | $96K |
24 more codes
| D2934 | 2.9% | 893 | $91K | |
| D1351 | Sealant - per tooth | 2.4% | 3,343 | $74K |
| D0220 | Intraoral - periapical first radiographic image | 1.7% | 4,369 | $53K |
| D1206 | Topical application of fluoride varnish | 1.6% | 3,475 | $51K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 602 | $30K |
| D9222 | <1% | 244 | $25K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 2,037 | $24K |
| D2330 | <1% | 278 | $20K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 483 | $19K |
| D2332 | <1% | 169 | $15K | |
| D0272 | Bitewings - two radiographic images | <1% | 1,275 | $15K |
| D1510 | <1% | 76 | $9K | |
| D1310 | <1% | 191 | $9K | |
| D9221 | <1% | 326 | $6K | |
| D9430 | <1% | 102 | $3K | |
| D9993 | <1% | 46 | $3K | |
| D9220 | <1% | 87 | $3K | |
| D1999 | <1% | 414 | $2K | |
| D0603 | <1% | 256 | $2K | |
| D0330 | Panoramic radiographic image | <1% | 44 | $1K |
| D0274 | Bitewings - four radiographic images | <1% | 41 | $756.00 |
| D0350 | <1% | 574 | $691.20 | |
| D0602 | <1% | 12 | $165.00 | |
| D1330 | 0% | 183 | $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.
From NPPES
Who's on the registration
Authorized officialPIVNIK, DMITRIY (OFFICER)