Dental
Kholdarova, Alla
Kholdarova, Alla was paid $2.58M by Medicaid between Jan 2018 and Dec 2024, across 35 billing codes. Its largest line is D1120, dental cleaning, child — 12% of everything it billed.
33Billing provider infoKHOLDAROVA, ALLA
HEMPSTEAD, NY 11550
HEMPSTEAD, NY 11550
33aNPI1356732861assigned 02/05/2015
33bProvider typeDentist
28Total paid$2.58M
24GClaims96,674
24DCodes billed35
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in New York
Rank by total paid#31 of 1,649
Median peer was paid$49K
This provider vs. median52×
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 | 1,205 | $22K | |
| 2019 | 3,037 | $92K | |
| 2020 | 11,493 | $364K | |
| 2021 | 17,225 | $555K | |
| 2022 | 15,689 | $415K | |
| 2023 | 20,750 | $489K | |
| 2024incomplete | 27,275 | $642K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 9,463 | 9,459 | $304K |
| D1351 | Sealant - per tooth | 12% | 7,046 | 2,186 | $301K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.3% | 11,169 | 11,159 | $240K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.0% | 3,503 | 2,195 | $233K |
| D1110 | Prophylaxis - adult | 7.1% | 4,446 | 4,444 | $184K |
| D2335 | 6.6% | 1,108 | 577 | $170K | |
| D0220 | Intraoral - periapical first radiographic image | 5.0% | 12,745 | 12,643 | $128K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 4.0% | 1,312 | 988 | $104K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.8% | 11,456 | 11,411 | $97K |
| D2394 | 3.3% | 811 | 526 | $86K | |
| D1206 | Topical application of fluoride varnish | 3.3% | 3,788 | 3,786 | $86K |
| D0272 | Bitewings - two radiographic images | 3.2% | 6,768 | 6,747 | $83K |
23 more codes
| D1208 | Topical application of fluoride, excluding varnish | 2.9% | 6,638 | $75K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.2% | 2,640 | $58K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.1% | 1,383 | $54K |
| D2752 | 1.8% | 119 | $47K | |
| D3240 | 1.7% | 291 | $44K | |
| D0274 | Bitewings - four radiographic images | 1.6% | 2,030 | $42K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 1.4% | 467 | $37K |
| D2750 | 1.4% | 74 | $35K | |
| D0210 | Intraoral - complete series of radiographic images | 1.3% | 3,240 | $32K |
| D0140 | Limited oral evaluation - problem focused | 1.2% | 2,862 | $30K |
| D0330 | Panoramic radiographic image | 1.1% | 1,198 | $28K |
| D7111 | <1% | 813 | $24K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 380 | $13K |
| D2954 | <1% | 127 | $13K | |
| D1510 | <1% | 112 | $12K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 149 | $5K |
| D2331 | <1% | 62 | $5K | |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | <1% | 16 | $5K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 31 | $2K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 75 | $2K |
| D9110 | <1% | 25 | $425.91 | |
| D0270 | <1% | 13 | $116.41 | |
| D1999 | 0% | 314 | $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.