Dental
Sobolevskaya, Svetlana
Sobolevskaya, Svetlana was paid $68K by Medicaid between Jun 2019 and Apr 2023, across 9 billing codes. Its largest line is D1110, Prophylaxis - adult — 36% of everything it billed.
33Billing provider infoSOBOLEVSKAYA, SVETLANA
OVERLAND PARK, KS 66223
OVERLAND PARK, KS 66223
33aNPI1457372559assigned 07/22/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$68K
24GClaims1,811
24DCodes billed9
24AFirst – last monthJun 2019 – Apr 2023
Compared with peers
Next to other General Practice Dentistry providers in Kansas
Rank by total paid#83 of 203
Median peer was paid$40K
This provider vs. median1.7×
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 | |
|---|---|---|---|
| 2019 | 25 | $599.00 | |
| 2020 | 122 | $4K | |
| 2021 | 559 | $20K | |
| 2022 | 999 | $39K | |
| 2023 | 106 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 36% | 574 | 558 | $24K |
| D0274 | Bitewings - four radiographic images | 17% | 407 | 400 | $12K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 14% | 125 | 45 | $9K |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 239 | 234 | $7K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.3% | 297 | 290 | $6K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.3% | 72 | 38 | $6K |
| D0210 | Intraoral - complete series of radiographic images | 2.3% | 28 | 27 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 1.6% | 56 | 54 | $1K |
| D0330 | Panoramic radiographic image | 1.1% | 13 | 13 | $750.61 |
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.