N GRIGOR B NEYDLIN A PROFESSIONAL DENTAL CORPORATION
NPI: 1477638336
· WEST HOLLYWOOD, CA 90046
· Dentist
· NPI assigned 10/26/2006
$292K
Total Medicaid Paid
Provider Details
| Authorized Official | NEYDLIN, BORIS (DDS) |
| NPI Enumeration Date | 10/26/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,453 |
$67K |
| 2019 |
1,395 |
$81K |
| 2020 |
289 |
$15K |
| 2021 |
575 |
$26K |
| 2022 |
710 |
$30K |
| 2023 |
914 |
$41K |
| 2024 |
833 |
$32K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,249 |
1,240 |
$98K |
| D5520 |
|
654 |
216 |
$47K |
| D4341 |
|
452 |
140 |
$29K |
| D0120 |
Periodic oral evaluation - established patient |
423 |
423 |
$22K |
| D5750 |
|
101 |
101 |
$19K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,401 |
1,393 |
$19K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
269 |
269 |
$16K |
| D5851 |
|
119 |
119 |
$8K |
| D5751 |
|
41 |
41 |
$8K |
| D5850 |
|
112 |
112 |
$7K |
| D0220 |
Intraoral - periapical first radiographic image |
482 |
463 |
$6K |
| D0210 |
Intraoral - complete series of radiographic images |
126 |
126 |
$6K |
| D5510 |
|
59 |
59 |
$4K |
| D0230 |
Intraoral - periapical each additional radiographic image |
654 |
161 |
$3K |
| D4342 |
|
27 |
15 |
$810.00 |