SIMON BANGIYEV DDS, MD, PC
NPI: 1700445194
· RICHMOND HILL, NY 11418
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 06/10/2019
$137K
Total Medicaid Paid
Provider Details
| Authorized Official | BANGIYEV, SIMON (OWNER) |
| Parent Organization | SIMON BANGIYEV, DDS, MD, PC. |
| NPI Enumeration Date | 06/10/2019 |
Related Entities
Other providers sharing the same authorized official: BANGIYEV, SIMON
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
157 |
$7K |
| 2020 |
1,487 |
$75K |
| 2021 |
1,032 |
$53K |
| 2022 |
35 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
685 |
604 |
$61K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
828 |
825 |
$18K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
187 |
187 |
$17K |
| D0330 |
Panoramic radiographic image |
434 |
434 |
$11K |
| D7261 |
|
44 |
44 |
$9K |
| D9310 |
|
172 |
171 |
$9K |
| D9222 |
|
187 |
187 |
$8K |
| D7140 |
Extraction, erupted tooth or exposed root |
43 |
36 |
$2K |
| D7230 |
|
12 |
12 |
$2K |
| D9610 |
|
106 |
106 |
$930.35 |
| D9430 |
|
13 |
12 |
$148.20 |