Dental
Klebanov, Igor
Klebanov, Igor was paid $513K by Medicaid between Jan 2018 and Nov 2024, across 12 billing codes. Its largest line is E0486, Oral device/appliance used to reduce upper airway collapsibility, adjustable or non-adjustable, custom fabricated, includes fitting and adjustment — 53% of everything it billed.
33Billing provider infoKLEBANOV, IGOR
BROOKLYN, NY 11214
BROOKLYN, NY 11214
33aNPI1376532671assigned 10/19/2005
33bProvider typeGeneral Practice Dentistry
28Total paid$513K
24GClaims9,908
24DCodes billed12
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in New York
Rank by total paid#299 of 2,184
Median peer was paid$54K
This provider vs. median9.6×
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 | 1,079 | $143K | |
| 2019 | 1,586 | $177K | |
| 2020 | 969 | $19K | |
| 2021 | 1,789 | $59K | |
| 2022 | 1,935 | $49K | |
| 2023 | 1,289 | $32K | |
| 2024incomplete | 1,261 | $33K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| E0486 | Oral device/appliance used to reduce upper airway collapsibility, adjustable or non-adjustable, custom fabricated, includes fitting and adjustment | 53% | 181 | 174 | $272K |
| D1110 | Prophylaxis - adult | 15% | 1,988 | 1,975 | $75K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 3,133 | 3,118 | $63K |
| D0210 | Intraoral - complete series of radiographic images | 7.6% | 1,105 | 1,098 | $39K |
| D4341 | 4.9% | 636 | 211 | $25K | |
| D0230 | Intraoral - periapical each additional radiographic image | 2.6% | 870 | 852 | $13K |
| D0220 | Intraoral - periapical first radiographic image | 1.8% | 1,137 | 1,111 | $9K |
| D1120 | Dental cleaning, childProphylaxis - child | 1.5% | 214 | 214 | $8K |
| D1208 | Topical application of fluoride, excluding varnish | 1.0% | 448 | 448 | $5K |
| D0274 | Bitewings - four radiographic images | <1% | 139 | 139 | $3K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 13 | 13 | $435.16 |
| D1999 | 0% | 44 | 34 | $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.