Dental
Leviyev, Ezro
Leviyev, Ezro was paid $27K by Medicaid between Jan 2022 and Oct 2024, across 7 billing codes. Its largest line is D2391, Resin-based composite - one surface, posterior, primary or permanent — 75% of everything it billed.
33Billing provider infoLEVIYEV, EZRO
BRIDGEPORT, CT 06605
BRIDGEPORT, CT 06605
33aNPI1700032042assigned 08/18/2008
33bProvider typeDentist
28Total paid$27K
24GClaims601
24DCodes billed7
24AFirst – last monthJan 2022 – Oct 2024
Compared with peers
Next to other Dentist providers in Connecticut
Rank by total paid#87 of 153
Median peer was paid$41K
This provider vs. median0.6×
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 | |
|---|---|---|---|
| 2022 | 107 | $3K | |
| 2023 | 330 | $16K | |
| 2024incomplete | 164 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 75% | 361 | 103 | $20K |
| D1110 | Prophylaxis - adult | 16% | 107 | 106 | $4K |
| D0210 | Intraoral - complete series of radiographic images | 3.4% | 15 | 14 | $912.60 |
| D0230 | Intraoral - periapical each additional radiographic image | 1.9% | 50 | 26 | $495.21 |
| D0220 | Intraoral - periapical first radiographic image | 1.7% | 39 | 39 | $458.18 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 1.2% | 15 | 15 | $318.50 |
| D1206 | Topical application of fluoride varnish | <1% | 14 | 13 | $237.40 |
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.