Dental
Izmailov, Roman
Izmailov, Roman was paid $536K by Medicaid between Jan 2018 and Dec 2024, across 14 billing codes. Its largest line is D2751, Crown - porcelain fused to predominantly base metal — 46% of everything it billed.
33Billing provider infoIZMAILOV, ROMAN
POMONA, NY 10970
POMONA, NY 10970
33aNPI1487644456assigned 10/21/2005
33bProvider typeDentist
28Total paid$536K
24GClaims11,881
24DCodes billed14
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in New York
Rank by total paid#196 of 1,649
Median peer was paid$49K
This provider vs. median11×
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 | 187 | $7K | |
| 2019 | 173 | $6K | |
| 2020 | 28 | $871.50 | |
| 2021 | 44 | $1K | |
| 2023 | 3,174 | $144K | |
| 2024incomplete | 8,275 | $378K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2751 | Crown - porcelain fused to predominantly base metal | 46% | 568 | 453 | $246K |
| D1110 | Prophylaxis - adult | 18% | 2,205 | 2,204 | $95K |
| D2954 | 8.0% | 396 | 343 | $43K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.7% | 1,859 | 1,858 | $41K |
| D0274 | Bitewings - four radiographic images | 6.8% | 1,648 | 1,648 | $36K |
| D0220 | Intraoral - periapical first radiographic image | 3.9% | 2,094 | 2,087 | $21K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.0% | 1,934 | 1,933 | $16K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.2% | 282 | 165 | $12K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.3% | 113 | 75 | $7K |
| D0210 | Intraoral - complete series of radiographic images | 1.1% | 274 | 274 | $6K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 349 | 349 | $4K |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | <1% | 12 | 12 | $4K |
2 more codes
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.