RUBINOV, TSIPORA
NPI: 1710978093
· ELMHURST, NY 11373
· Dentist
· NPI assigned 11/04/2005
$119K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,543 |
$31K |
| 2019 |
1,333 |
$27K |
| 2020 |
1,070 |
$21K |
| 2021 |
1,285 |
$25K |
| 2022 |
734 |
$14K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,222 |
1,222 |
$50K |
| D0120 |
Periodic oral evaluation - established patient |
1,452 |
1,449 |
$30K |
| D0274 |
Bitewings - four radiographic images |
813 |
812 |
$17K |
| D0220 |
Intraoral - periapical first radiographic image |
1,088 |
1,084 |
$10K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,088 |
1,086 |
$9K |
| D1208 |
Topical application of fluoride, excluding varnish |
278 |
278 |
$2K |
| D0210 |
Intraoral - complete series of radiographic images |
24 |
24 |
$897.60 |