Dental
Irina Rybalova PC
Irina Rybalova PC was paid $500K by Medicaid between Jan 2018 and Dec 2024, across 12 billing codes. Its largest line is D1110, Prophylaxis - adult — 30% of everything it billed.
33Billing provider infoIRINA RYBALOVA PC
FREEPORT, NY 11520
FREEPORT, NY 11520
33aNPI1578841938assigned 08/02/2011
33bProvider typeGeneral Practice Dentistry
28Total paid$500K
24GClaims19,250
24DCodes billed12
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in New York
Rank by total paid#303 of 2,184
Median peer was paid$54K
This provider vs. median9.3×
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 | 1,737 | $48K | |
| 2019 | 2,095 | $52K | |
| 2020 | 3,066 | $76K | |
| 2021 | 3,893 | $98K | |
| 2022 | 3,786 | $98K | |
| 2023 | 2,954 | $80K | |
| 2024incomplete | 1,719 | $48K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 30% | 3,451 | 3,450 | $152K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 25% | 5,533 | 5,531 | $124K |
| D0274 | Bitewings - four radiographic images | 14% | 3,102 | 3,102 | $70K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.8% | 1,487 | 1,487 | $49K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.7% | 565 | 500 | $33K |
| D1208 | Topical application of fluoride, excluding varnish | 5.8% | 2,342 | 2,342 | $29K |
| D0210 | Intraoral - complete series of radiographic images | 3.7% | 631 | 630 | $18K |
| D0220 | Intraoral - periapical first radiographic image | 3.1% | 1,426 | 1,420 | $15K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 482 | 482 | $5K |
| D0272 | Bitewings - two radiographic images | <1% | 184 | 184 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 34 | 31 | $1K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 13 | 12 | $443.84 |
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 officialRYBALOVA, IRINA (DDS)