Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

DR ROLAND YAKUBOV DDS DENTAL CORPORATION

NPI: 1538490339 · NORTH HOLLYWOOD, CA 91606 · General Practice Dentistry · NPI assigned 01/19/2010

$4K
Total Medicaid Paid
368
Total Claims
195
Beneficiaries
6
Codes Billed
2018-06
First Month
2018-06
Last Month

Provider Details

Authorized OfficialYAKUBOV, ROLAND (PRESIDENT)
NPI Enumeration Date01/19/2010

Related Entities

Other providers sharing the same authorized official: YAKUBOV, ROLAND

ProviderCityStateTotal Paid
DR ROLAND YAKUBOV DDS DENTAL CORPORATION NORTH HOLLYWOOD CA $6.12M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 368 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 42 41 $1K
D1120 Prophylaxis - child 38 36 $1K
D0230 Intraoral - periapical each additional radiographic image 210 42 $639.00
D0330 Panoramic radiographic image 21 21 $500.00
D1208 Topical application of fluoride, excluding varnish 44 42 $360.00
D0274 Bitewings - four radiographic images 13 13 $234.00