Kurudimova, Tatiana

Kurudimova, Tatiana was paid $12K by Medicaid between Nov 2020 and Oct 2021, across 5 billing codes. Its largest line is D1110, Prophylaxis - adult — 52% of everything it billed.

33Billing provider infoKURUDIMOVA, TATIANA
FEASTERVILLE, PA 19053

33aNPI1659711638assigned 07/05/2013

33bProvider typeGeneral Practice Dentistry

28Total paid$12K

24GClaims435

24DCodes billed5

24AFirst – last monthNov 2020 – Oct 2021

Compared with peers

Next to other General Practice Dentistry providers in Pennsylvania

Rank by total paid#558 of 847

Median peer was paid$37K

This provider vs. median0.3×

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
2020	54	$2K
2021	381	$11K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	52%	181	181	$6K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	22%	135	135	$3K
D0274	Bitewings - four radiographic images	14%	62	62	$2K
D2391	Resin-based composite - one surface, posterior, primary or permanent	6.6%	18	12	$810.36
D0150	Comprehensive oral evaluation - new or established patient	6.3%	39	39	$779.60

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.