Dental
Viktoriya Seliverstova, DDS INC.
Viktoriya Seliverstova, DDS INC. was paid $978K by Medicaid between Aug 2021 and Dec 2024, across 29 billing codes. Its largest line is D2394, — 19% of everything it billed.
33Billing provider infoVIKTORIYA SELIVERSTOVA, DDS INC.
ROCKLIN, CA 95765
ROCKLIN, CA 95765
33aNPI1437307253assigned 09/04/2008
33bProvider typeGeneral Practice Dentistry
28Total paid$978K
24GClaims35,606
24DCodes billed29
24AFirst – last monthAug 2021 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#580 of 2,668
Median peer was paid$173K
This provider vs. median5.7×
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 | |
|---|---|---|---|
| 2021 | 483 | $14K | |
| 2022 | 4,730 | $133K | |
| 2023 | 8,562 | $225K | |
| 2024incomplete | 21,831 | $606K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2394 | 19% | 2,196 | 1,084 | $184K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 1,678 | 1,671 | $111K |
| D1120 | Dental cleaning, childProphylaxis - child | 10% | 1,975 | 1,969 | $102K |
| D0350 | 8.7% | 9,065 | 1,944 | $85K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.9% | 986 | 985 | $67K |
| D1110 | Prophylaxis - adult | 6.5% | 714 | 710 | $64K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 5.3% | 529 | 294 | $52K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 5.3% | 1,302 | 1,007 | $52K |
| D1208 | Topical application of fluoride, excluding varnish | 4.8% | 2,830 | 2,801 | $47K |
| D0210 | Intraoral - complete series of radiographic images | 4.8% | 979 | 977 | $47K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.6% | 8,620 | 1,888 | $35K |
| D1320 | 1.9% | 1,523 | 1,517 | $19K |
17 more codes
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.5% | 225 | $15K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.4% | 173 | $14K |
| D1351 | Sealant - per tooth | 1.3% | 335 | $13K |
| D1310 | 1.3% | 320 | $12K | |
| D0272 | Bitewings - two radiographic images | 1.2% | 992 | $12K |
| D2740 | Crown - porcelain/ceramic | 1.1% | 23 | $11K |
| D0274 | Bitewings - four radiographic images | 1.0% | 464 | $10K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 153 | $9K |
| D9430 | <1% | 105 | $3K | |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 27 | $3K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 48 | $3K |
| D2335 | <1% | 22 | $3K | |
| D2332 | <1% | 31 | $2K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 181 | $2K |
| D0601 | <1% | 41 | $600.00 | |
| D0603 | <1% | 49 | $435.00 | |
| D0602 | <1% | 20 | $270.00 |
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 officialSELIVERSTOVA, VIKTORIYA (CEO)